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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: DBI BEVERAGE INC 4547 FRONTIER WAY STOCKTON Auclust 18 2015 SUMMARY OF VIOLATIONS (CLASS I,CLASS ll,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 010745650JJK (10/23/12), 007038875JJK(5/1/13), 004697018SKS (1/27/15), and 004764248SKS (3/23/15)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. 110 CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements. Manifest numbers 010745650JJK (10/23/12), 007038875JJK (5/1/13), 004697018SKS (1/27/15), and 004764248SKS (3/23/15)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. Received by Inspector: Phone: Date: (initial): �J STACY RIVERA, Senior REHS �" (209)468-3440 08/18/2015 Page 4 of 6