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0 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.siaov.org/ehd <br /> CONTINUATION FORM Page: 6 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 11/19/12 <br /> Facility Address: Tracy Express Wash & Lube 2480 North Tracy Blvd, Tracy Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Submit to SJC EHD within 30 days (12/19/2012) <br /> 1. one copy of the completed "Return to Compliance Certification" form <br /> 2. a written explanation how each violation will be corrected and how to prevent violation in the future <br /> 3. copy of supporting documentation ie. disposal receipt of waste antifreeze, absorbent, fluorescent <br /> tubes <br /> 4. one copy of the completed "California Environmental Reporting System Lead User Authorization <br /> Form" to allow EHD authorization to facility's CERS data. Businesses must submit electronic data of <br /> HMBP on a state website starting 2013. <br /> Notes: <br /> - Provided: Free training schedule (sign up for Hazardous & Universal Waste management, Basic Auto <br /> Industry Hazardous Waste management), Haz Waste labeling instructions, CERS info & Authorization <br /> form <br /> - In 2011 year, facility generated approximately 6975 gallons (27.9Tons) of used oil and 75 gallons (0.3 <br /> Tons) of used antifreeze. Typically twice/ month pick up of used oil of 250 gallons. <br /> - Reviewed bill of lading/disposal receipt of pump out of sludge from oil-water separator from 2009. <br /> Owner states oil-water separator was serviced in 2011 but unable to provide receipt. Ensure to keep all <br /> records of service. <br /> ALL EHD STAFF TME ASSOCIATED WITH FAILING To COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector. Receivetl Title: <br /> EHD 23-02-003 Rev 04/19/12 v CONTINUATION FORM <br />