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0 SAN JOAGQUIN COUNTY 10 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.siciov.org/ehd/unitiii.html <br />CONTINUATION FORM <br />Page: 5 of 5 <br />OFFICIAL INSPECTION REPORT <br />Date: 11/30/10 <br />Facility Address: 4945 Waterloo Road <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />60, 61, & 62. Manifest number 003235803JJK (dated 2-13-08) was not found on site. Hazardous waste <br />generators shall retain copies of all manifests for three years or until a copy signed off by the destination <br />facility is received. The signed off copy shall be retained and made readily available for review for three <br />years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner <br />or operator of the facility to which the generator's waste was submitted within 60 days of the date the <br />waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing <br />manifest, with some indication that the generator has not received confirmation of delivery. This <br />information shall be submitted to: <br />DTSC Report Repository <br />Generator Information Services Section <br />P.O. Box 806 <br />Sacramento, CA 95812-0806 <br />Immediately locate a copy of the missing manifest or prepare and submit the required information to <br />DTSC. By December 30, 2010, submit to the EHD a copy of the signed off copy of the manifest or a <br />copy of the information submitted to DTSC. <br />Notes <br />1. Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br />each violation was corrected, including supporting documentation, by December 30, 2010. <br />2. The facility is moving to 1155 Lockeford Street in Lodi by April 2011. Please send a copy of the final <br />hazardous waste disposal manifest to the EHD when the Waterloo facility is closed. Contact the EHD by <br />calling Garrett Backus at 468-2986 to schedule a closure inspection to verify removal of all hazardous <br />waste. Contact the EHD by calling 468-3420 to transfer the hazardous waste generator operating permit <br />to the new address. <br />3. The EHD training schedule, hazardous waste labelling guide, hazardous waste labels and County <br />Hazardous Waste Disposal Facility brochure were given to the operator. Inspector discussed proper <br />disposal of universal waste with the operator. <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 />7 EHD e r: <br />Received By:�4w <br />Title: q lug Qae_stoejr <br />v <br />EHD -02-003 R v 08/10/10 CONTINUATION FORM <br />