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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, California 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd/unitiii.html CONTINUATION FORM Page: 5 of 5 OFFICIAL INSPECTION REPORT Date: 04/11/12 Facility Address: 1019 Bessemer Avenue, Manteca Program: HW SUMMARY OF VIOLATIONS CLASS I,CLASS II,or MINOR-Notice to Comply) 122, 123, & 124. Manifest number 008680711 JJK was not found on site. 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 manifest or prepare and submit an exception report to DTSC. Within 30 days of receiving this report, submit to the EHD a copy of the signed off copy of the manifest or a copy of the exception report submitted to DTSC. Notes Complete and submit a copy of the Return to Compliance Certification form with a statement of how each violation was corrected, including supporting documentation, to the EHD within 30 days of receiving this report. ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. EHD Inspector: Received By: Title: EHD 23-02-003 Rev 07/12/11 CONTINUATION FORM