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SAN J 0 A Q U I N Environmental Health Department <br /> C C u N T Y Irl AMENDED <br /> 5/18/2020 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DICKS SPORTING GOODS#1176 5354 PACIFIC AVE, STOCKTON May 18, 2020 <br /> -The report was amended by adding violation 119. <br /> -The amount of hazardous waste generated in the last calendar could not be determined at the time of <br /> inspection due to the facility's lack of hazardous waste manifests. <br /> -The only hazardous waste manifest observed on-site was 002543369PSC for a pick-up of 4 pounds of waste <br /> aerosols on 10/18/2019. <br /> - Hazardous waste was not observed on-site at the time of inspection. <br /> An inspection report was provided to the facility operator on the day of inspection. The report was amended on <br /> 5/18/2020 and replaces the initial report. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 6/17/2020. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided during inspection: Modified Contingency Plan template, Return To Compliance (RTC) <br /> Certification, and Corrective Action Statement(CAS)Worksheet. <br /> Waste streams found: unsaleable LED light bulbs <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: May 18, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Emailed to Dan Mattingly, Store Manager <br /> FA0023362 PR0540860 SCO01 05/18/2020 <br /> EHD 22-01 Rev.9/20/2019 Page 7 of 7 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />