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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.spgov.ora/ehd/unitiii.html <br /> CONTINUATION FORM Page: 4 of 4 <br /> OFFICIAL INSPECTION REPORT Date: 05/31/11 <br /> Facility Address: Tesoro Shell 68153 2448 W. Kettleman Lane Lodi, CA 95240 Program: HW <br /> SUMMARY OF VIOLATIONS <br /> CLASS I,CLASS 11,or MINOR-Notice to Comply) <br /> form of a log, invoice, manifest, bill of lading or other shipping document. The record for each shipment <br /> of UW sent shall include the following information: <br /> (1) The name and address of the UW handler or destination facility to which the UW was sent; <br /> (2) The quantity [count or weight] of each type of UW sent (e.g., batteries, thermostats, lamps, electronic <br /> devices, CRTS, CRT glass); <br /> (3) The date of departure of the shipment of UW. <br /> Correct immediately by maintaining UW disposal records for three years. Minor - Notice to Comply. <br /> Note. The following was corrected during the inspection: <br /> 83. The box of UW lamps were not labeled. A UW handler shall label or mark UW to identify the type of <br /> waste. Lamps (i.e., each lamp), or a container in which the lamps are contained, shall be labeled or <br /> marked clearly with the following phrase: "Universal Waste-Lamp(s)". Employee labeled it as "Universal <br /> Waste Lamps", and marked it with an accumulation start date. Corrected on site. <br /> Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br /> each violation was corrected, including supporting documentation, by-6-t1--T1. J­k-�I fql <br /> Less than half of one ton of HW generated in 2010. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE($122). <br /> THIS FACILITY IS SUBJECT TO REINSIPECTIOq AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> EHD Inspector: Recei Title: <br /> _A0'P� � I JA A A <br /> EHD 23-02-003 Rev 08/10/10 CONTINUATION FORM <br />