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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.s* ov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> QUIK STOP MARKET#2152 1721 S CHEROKEE LN LODI June 22 2015 <br /> Universal Waste <br /> 706 CCR 66273.33.5 Failed to properly manage universal waste electronic devices,CRTs or CRT glass ❑V ❑R ❑COS <br /> 707 HSC 25201.16(e) Failed to manage aerosol cans in a manner that prevents the unauthorized release of waste ❑V ❑R ❑COS <br /> 708 HSC 25201.16(f) Failed to properly manage containers of waste aerosol cans ❑V ❑R ❑COS <br /> 709 HSC 25201.16(g) Failed to store used aerosol cans in an accumulation container ❑V ❑R ❑COS <br /> 710 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing ❑V ❑R ❑COS <br /> 711 HSC 25201.160) Failed to submit or amend notification for aerosol can processing ❑V ❑R ❑COS <br /> 712 CCR 66273.34 Failed to label universal waste to identify type of universal waste ❑V ❑R ❑COS <br /> 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 <br /> 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures ❑V ❑R ❑COS <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years ❑V ❑R ❑COS <br /> Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 3020 See below Unlisted Training violation ❑V ❑R ❑COS <br /> 3030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS <br /> 3050 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 104 CCR 66262.34(d)(2) No emergency coordinator. <br /> An emergency coordinator is lacking. There must be at least one emergency coordinator on site or on call to <br /> coordinate emergency response measures, and the following information must be posted by a phone: the name and <br /> phone number of the emergency coordinator; location of fire extinguishers, spill control equipment, and if present, fire <br /> alarm; and the phone number of the fire department, unless the facility has a direct alarm. Immediately appoint an <br /> emergency coordinator and post the required information by a phone. A form is provided that can be used for this <br /> purpose. <br /> This is a repeat violation, Class Il. <br /> Date: <br /> Receive4 W Inspector: Phone: <br /> (initial): 4 <br /> C c� ' ARIS VELOSO, Senior REHS (209) 468-3453 06/22/2015 <br /> Page 3 of 5 <br />