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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: Western Dental 320 S CHEROKEE LN, Lodi July 15, 2016 Universal Waste 708 HSC 25201.16(f) Failed to properly manage containers of waste aerosol cans ❑V ❑R ❑COS 709 HSC 25201.16(g) Failed to store used aerosol cans in an accumulation container o V ❑R o COS 710 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing ❑V ❑R ❑COS 711 HSC 25201.160) Failed to submit or amend notification for aerosol can processing in V in R ❑COS 712 CCR 65273.34 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 o V u R ❑COS 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years o V ❑R ❑COS Other Violations 3010 See below Unlisted Administration/Documentation violation ❑V o R o COS 3020 See below Unlisted Training violation ❑V ❑R ❑COS 3030 See below Unlisted Operations/Maintenanoe violation ❑V ❑R o COS 3040 See below Unlisted Releasa/LeakstSpills violation ❑V o R o COS 3050 See below Unlisted Abandonmentllllegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 109 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. Manifest numbers: -006693537FLE(was not found on site) -007686670FLE -007245286FLE -007167493FLE were found without a signed off copy from the destination facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three years and have them readily available for review. 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 manifest or a copy of the information submitted to DTSC. This is a Class II violation. Page 3 of 5