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0 0 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1858 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.orglehd CONTINUATION FORM Page: 6 of 10 OFFICIAL INSPECTION REPORT Date: 09/24/12 Facility Address: 3927 E. Clark Dr., Stockton Program: HW SUMMARY OF VIOLATIONS CLASS I, CLASS II, or MINOR -Notice to Comply) 119. Manifest numbers 009574416JJK (511!12), 009574415JJK (511112), and 009561607JJK (1117112) were sent under the EPA ID number and generator & site address for the Sacramento facility. A generator who transports, or offers for transportation, hazardous waste, shall prepare a manifest in accordance with Title 22 regulations, including the generator's correct EPA ID number and the correct address information. Immediately make all necessary corrections and notifications with DTSC to ensure that all wastes are properly identified under the correct EPA ID number and addresses. Submit a copy of the notification made to DTSC, to the EHD by October 26, 2012. Ensure that all future hazardous waste is handled under the correct EPA ID number and generator address. 121. Manifest numbers 006069742JJK (311110), 007083765JJK (4123110), 008481617JJK (7118/11) and 008979032JJK (7119111) were found on site at the facility but were not on record with the Department of Toxic Substances Control (DTSC). Within 30 days of each shipment, a generator shall submit a legible copy of each manifest used to DTSC. Immediately submit a copy of these manifests to DTSC and ensure that copies of all future manifests are submitted to DTSC within the required time frame. REPEAT VIOLATION 122, 123, & 124. Manifest numbers 008816929JJK (9130111) and 009740395JJK (3/16112) were not found on site. Manifest numbers 007083765JJK (4123110), 008135653JJK (4/5111), 009469659JJK (1119111), 009561607JJK (1/17112), 009564048JJK (3/7112), 009740395JJK (3116112), 008816896JJK (3120112), 009574416JJK (511112), 009574415JJK (511112), and 009565210JJK (7/3/12) were found without a signed off copy from the destination facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three years and have them readily available for review. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 35 days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those efforts. Exception reports shall be submitted to.. DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento, CA 95812-0806 ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. EHD Inspector: Received By: Title: Stacy Rivera (209) 468-3440 EHD 23 -Cit -003 Rev (}4119112 CONTINUATION FORM