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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.slaov.org/ehd <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Pro on-site 2010 W Fremont St, Stockton August 02, 2018 <br /> Universal Waste <br /> 719 CCR 66273.38 Failure of UW handler to transfer UW to the appropriate destination facility ❑V ❑R ❑COS <br /> Appliance Recycler <br /> 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR) ❑V ❑R ❑COS <br /> 802 HSC 25211.2,25211.3 Failure of a CAR to provide docs that materials that require special handling have been removed ❑V ❑R ❑COS <br /> 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑V ❑R ❑COS <br /> Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 3020 See below Unlisted Training violation ❑V ❑R ❑COS <br /> 3030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS <br /> 3050 See below Unlisted Abandon ment/lIlegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> Manifest numbers 016653503JJK and 016653912JJK were not found on site. Manifest numbers 016654318JJK, <br /> 017145563JJK, and 018146266JJK were found on site without a signed copy from the destination facility. <br /> Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the <br /> destination facility is received. The signed off copy shall be retained and made readily available for review for three <br /> years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator <br /> of the facility to which the generator's waste was submitted within 35 days of the date the waste was accepted by <br /> the initial transporter, the generator shall contact the transporter and/or the owner or operator of the designated <br /> facility to determine the status of the waste. If the generator did not receive a copy of the signed off copy of the <br /> manifest within 45 days of the date that the waste was accepted by the initial transporter,the generator shall submit <br /> an Exception Report that includes a legible copy of the missing manifest, and a cover letter signed by the generator <br /> explaining the efforts to locate the hazardous waste and the results of those efforts. Exception reports shall be <br /> submitted to: <br /> DTSC Report Repository <br /> Generator Information Services Section <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806 <br /> Immediately locate a copy of the missing manifests or prepare and submit an exception report to DTSC. Submit to <br /> the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. <br /> This is a repeat violation, Class II. <br /> FA0022201 PR0538723 SCO01 08/02/2018 <br /> EHD 22-02 Rev.09/22/16 Page 4 of 8 Large Quantity Hazardous Waste Generator OIR <br />