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San Joaquin County Environmental Health Department Er:e4rc'S kvJ 11A lA:: 1868 East Hazelton Avenue, Stockton, California 95205-6232 (�QJ Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siciov.org/ehd I O Large Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: SJC PERMANENT HOUSEHOLD HAZ WASTE 7850 S RA BRIDGEFORD ST STOCKTON June 26 2015 SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR- Notice to Comply) - Item # Remarks 116 CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements. Manifest numbers 004495298 SKS, 004351304 SKS, 004298263 SKS, 000111806 DAT, and 004612362 SKS 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 35 days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those efforts. Exception reports 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 an exception report to DTSC. Submit to the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. Generator copies of manifest numbers 004373574 SKS, 004373782 SKS, 004298263 SKS, 004374497 SKS, 004212473 SKS, 004351304 SKS, and 004422507 SKS were not sent to DTSC within 30 days of shipment of hazardous waste. Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the destination facility is received. The signed off copy shall be retained and made readily available for review for three years. 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 35 days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those efforts. Exception reports 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 an exception report to DTSC. Submit to the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. This is a repeat violation, Class ll. Received by (initial): Inspector: i3 Phone: Date: -Q, N ELENA MANZO, REHS (209) 953-7699 06/26/2015 gae of 10