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0 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.silaov.org/ehd/unitiii.htmi <br />CONTINUATION FORM <br />Page: 5 of 6 <br />OFFICIAL INSPECTION REPORT <br />Date: 01 /23/12 <br />Facility Address: Tracy Unified School District Service Ctr 1975 W Lowell Ave <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />CLASS I, CLASS II, or MINOR -Notice to Comply) <br />122, 123, & 124. The following manifest numbers were found without a signed off copy from the <br />destination facility. <br />00336481JJK shipped 02/23/11 007030698JJK shipped 08/09/11 <br />00661367JJK shipped 12/14/11 008642656JJK, 008639013 shipped 12/21/11 <br />Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on <br />site for three years and have them readily available for review. If the generator did not receive a copy of <br />the manifest with the handwritten signature of the owner or operator of the facility to which the <br />generator's waste was submitted within 35 days of the date the waste was accepted by the initial <br />transporter, the generator shall contact the transporter and/or the owner or operator of the designated <br />facility to determine the status of the waste. If the generator did not receive a copy of the signed off <br />copy of the manifest within 45 days of the date that the waste was accepted by the initial transporter, the <br />generator shall submit an Exception Report that includes a legible copy of the missing manifest, and a <br />cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results <br />of those efforts. Exception reports 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 an exception report to DTSC. <br />Submit to the EHD a copy of the signed off copy of the manifest or a copy of the exception report <br />submitted to DTSC. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />I Received By: <br />Title: <br />Thuy Tran (209) 468-8257 <br />EHD 23-02-003 Rev 07/12/11 /// -T <br />f CONTINUATION FORM <br />