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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd CONTINUATION FORM Page: 5 of 6 OFFICIAL INSPECTION REPORT Date: 03/27/14 Facility Address: 930 E Victor Rd, Lodi, CA Program: HW SUMMARY OF VIOLATIONS CLASS I,CLASS II,or MINOR-Notice to Comply) 122, 705. Manifest number 008642791 JJK was 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 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC by April 28, 2014. 135. The complete Return to Compliance paperwork for the March 24, 2011 inspection was not submitted. A deficiency letter was issued on October 15, 2013. The operator of the site or facility which receives an inspection report shall submit a written response to the department or the local officer or agency within 60 days of receipt of the inspection report, or with a shorter time as the department or local agency requires. This response shall include a statement documenting the corrective actions that have been or will be taken by the operator. Immediately submit all necessary follow up paperwork for the 2011 hazardous waste generator inspection to the EHD. 804 & 808. An open cardboard box containing used fluorescent light bulbs was observed unlabeled inside the maintenance shop. According to Mr. Eliason, tubes were placed in the box in October of 2013. A generator shall label or mark universal waste with the words 'Universal Waste' and the type of waste (batteries, mercury containing equipment, lamps/bulbs, electronic devices, CRTs, CRT glass, aerosol cans). The container was sealed and labeled appropriately at the time of inspection. Ensure that all universal wastes are labeled with the required information. CORRECTED. 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: Elena Manzo (209) 953-7699 EHD 23-02-003 Rev 04/19/12 CONTINUATION FORM