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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 Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: WEST LANE CHEVRON' 4747 West Ln, STOCKTON September 26, 2014 Universal Waste Ila 711 HSC 25201,160) Failed to submit or amend notification for aerosol can processing ❑V ❑R ❑COS 712 CCR 66273.34 Failed to label universal waste to identify type of universal waste ❑V ❑R ❑COS 713 CCR 66273.35 Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored ❑V ❑R ❑COS 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures ❑v ❑R ❑COS 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years ❑V ❑R ❑COS Other Violations 3010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 3020 See below Unlisted Training violation ❑V ❑R ❑COS 3030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS 3040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation n V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS ll,or MINOR-Notice to Comply) Item # Remarks 109 Failed to keep signed copy of manifests from the designated facility for three years. Manifest numbers 004475035JJK, 010027618JJK, 010745537JJK, and 008642528JJK were not found on site. Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the destination facility is received. The signed off copy shall be retained and made readily available for review for three years. 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 manifests or a copy of the information submitted to DTSC. This is a repeat violation, Class ll. 115 Failed to submit a written response within 30 days of receiving an inspection report. A Return to Compliance Certification was not received for the 11-22-2013 inspection. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by October 27, 2014. Received by(initial): Inspector: Phone: Date: FATINAH ZAREEF, REHS (209) 953-7311 09/26/2014 Page 3 of 4