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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd/unitiii.html <br />CONTINUATION FORM <br />Page: 7 of 7 <br />OFFICIAL INSPECTION REPORT <br />Date: 01/18/11 <br />Facility Address: 3633 Duck Creek Dr., Stockton <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />85. The only disposal record available for fluorescent bulbs was from February 14, 2008. According to <br />Mr. Shannon, most fluorescent bulbs are taken by the electrician when he replaces them, but no records <br />were available on site. Copies of universal waste disposal records for aerosol cans, alkaline batteries, <br />and electronics were not found on site. A generator of universal waste shall keep a record of each <br />shipment of universal waste on site for at least three years. The record may take the form of a log, <br />invoice, manifest, bill of lading, or other shipping document, and shall include the following: <br />- Name & address of destination facility <br />- Quantity & type of universal waste <br />- Date of departure/shipment <br />Begin this practice immediately. <br />Complete & submit a copy of the Return to Compliance Certification to the EHD by February 20, 2011 <br />along with a statement documenting the corrective actions that have been or will be taken for each <br />violation and any supporting paperwork. <br />**Facility generated 18.8 tons of hazardous waste in 2010, although the tonnage from missing manifests <br />could not be included. <br />rovided:- <br />Provided.- <br />-Return to Compliance Certification form <br />- Sample hazardous waste label <br />- Hazardous waste labels <br />- Schedule of FREE classes <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($122). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: _ <br />R7ived <br />Title: <br />EHD 23-02 03 v 08/10/10 ) CONTINUATION FORM <br />