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SAN 10 A Q U I N Environmental Health Department <br /> COUNTY <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> GLENN VAN RULER 22339 E RIVER RD, ESCALON April 15, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 HSC 25160.2(b)(4)Consolidated manifest receipts failed to contain complete information. <br /> The consolidated manifest receipt for 200 gallons of Used Oil/Mixed Oil from 8/7/18 was missing the waste reduction <br /> statement.All copies of each receipt shall contain all of the following information: <br /> -The name, address, identification number, contact person, and telephone number of the generator, and the <br /> signature of the generator or the generator's representative; <br /> -The date of the shipment; <br /> -The manifest number; <br /> -The volume or quantity of each waste stream received, its California and RCRA waste codes,the waste stream <br /> type listed in subdivision(c), and its proper shipping description, including the hazardous class and United <br /> Nations/North America(UN/NA)identification number, if applicable; <br /> -The name, address, and identification number of the authorized facility to which the hazardous waste will be <br /> transported; <br /> -The transporter's name, address, and identification number; <br /> -The driver's signature; <br /> -A statement, signed by the generator, certifying that the generator has established a program to reduce the <br /> volume or quantity and toxicity of the hazardous waste to the degree, as determined by the generator,to be <br /> economically practicable. <br /> Ensure that all future receipts for hazardous waste shipments using a consolidated manifesting procedure contain all <br /> required information. <br /> This is a minor violation. <br /> Overall Inspection Comments: <br /> One blue 55 gallon drum of used anti-freeze was observed without a label. All hazardous waste containers shall be <br /> marked with the following information: <br /> -the words"Hazardous Waste" <br /> - name and address of generator <br /> - hazardous properties <br /> - physical state <br /> -composition (contents) <br /> -accumulation start date <br /> This was corrected on site. <br /> One blue 55 gallon drum of drained used oil filters and one black 55 gallon drum of drained used oil filters were <br /> observed without an accumulation start date. Containers storing drained used oil filters must be labeled with the <br /> words"Drained Used Oil Filters"and an accumulation start date. This was corrected on site. <br /> Complete and submit a copy of the Return to Compliance Certification Form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 5/15/19. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate$152. To schedule an <br /> FA0017334 PR0529763 SC001 04/15/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 4 of 5 Small Quantity Hazardous Waste Generator OR <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />