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Environmental Health Department <br />Large Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />December 12, 2019 <br /> Facility Address: <br /> 500 E KETTLEMAN LN, LODI <br /> Facility Name: <br /> JIFFY LUBE #2322 <br />Universal Waste <br /> 720 □ V □ R □ COSUW handler caused improper disposal of UWCCR 66273.31(a) <br /> 721 □ V □ R □ COSConditionally exempt small quantity UW generator caused improper disposal of UWCCR 66273.8(b) <br />Appliance Recycler <br /> 801 □ V □ R □ COSFailure to obtain Certified Appliance Recycler certification (CAR)HSC 25211.4 <br /> 802 □ V □ R □ COSFailure of a CAR to provide docs that materials that require special handling have been removedHSC 25211.2, 25211.3 <br /> 803 □ V □ R □ COSFailure of a CAR to properly remove and dispose of all materials that require special handlingHSC 25212 <br />Other Violations <br /> 3010 □ V □ R □ COSUnlisted Administration/Documentation violation See below <br /> 3020 □ V □ R □ COSUnlisted Training violation See below <br /> 3030 □ V □ R □ COSUnlisted Operations/Maintenance violation See below <br /> 3040 □ V □ R □ COSUnlisted Release/Leaks/Spills violation See below <br /> 3050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator at the time of inspection. The EHD will generate <br />and provide a complete report to the facility operator. <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, within 30 days of receiving the complete inspection report. <br />Waste streams found: oily solids, oily water, used paper oil filters, used metal oil filters, used lead acid batteries, <br />used oil, used antifreeze <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: Inspector Phone: <br /> (209) 468-3429 CLAUDIA MURO, EH Specialist <br /> Inspector:December 13, 2019 Date: <br />Printed Name and Title: <br />Brandon Pitz, Store Manager <br />FA0010973 PR0514476 SC001 12/12/2019 <br />EHD 22-02 Rev. 9/20/2019 Large Quantity Hazardous Waste Generator OIRPage 4 of 4 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com