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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, California 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s4gov.org/ehd/unitiii.html <br /> CONTINUATION FORM Page: 6 of 6 <br /> OFFICIAL INSPECTION REPORT Date: 12/16/11 <br /> Facility Address: 2057 S. EI Dorado St., Stockton Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> 812. Copies of universal waste disposal records were not found on site. A generator of universal waste <br /> (alkaline batteries, mercury containing equipment, fluorescent bulbs, electronic devices, CRTs, aerosol <br /> cans) shall keep a record of each shipment of universal waste on site for at least three years. The <br /> record may take the form of a log, invoice, manifest, bill of lading, or other shipping document, and shall <br /> include the following: <br /> - Name & address of destination facility <br /> - Quantity & type of universal waste <br /> - Date of departure/shipment <br /> Begin this practice immediately. <br /> Complete and submit a copy of the Return to Compliance Certification to the EHD by January 16, 2012 <br /> along with a statement documenting the corrective actions that have been or will be taken for each <br /> violation and any supporting paperwork. <br /> "Unable to determine the amount of hazardous waste generated in 2010 due to a lack of disposal <br /> records. <br /> Note: (corrected on site) <br /> An emergency coordinator and modified contingency plan information is lacking. There must be at least <br /> one emergency coordinator on site or on call to coordinate emergency response measures, and the <br /> following information must be posted by a phone: the name and phone number of the emergency <br /> coordinator; location of fire extinguishers, spill control equipment, and if present, fire alarm; and the <br /> phone number of the fire department, unless the facility has a direct alarm. Immediately appoint an <br /> emergency coordinator and post the required information by a phone. A modified contingency plan was <br /> completed and posted at the time of inspection using the form provided. <br /> Provided: <br /> - Modified Contingency Plan template <br /> - Sample hazardous waste label <br /> - Hazardous waste labels <br /> - Small Business Household Hazardous Waste Facility brochure <br /> - Return to Compliance Certification form <br /> ALL EHD STAFF TIME 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: Received B . Title�L v�/L�� <br /> Stacy Rivera (209) 468-3440 �'�( C <br /> EHD 23-02-003 Rev 07/12/11 CONTINUATION FORM <br />