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Z `�I SAN J O A Q U I N Environmental Health Department -- COUNTY - - Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address : Date : MANTECA BULLETIN 276 BUTTON AVE MANTECA April 23 2019 SUMMARY OF VIOLATIONS (CLASS I, CLASS II, or MINOR - Notice to Comply) Item # Remarks 110 CCR 66262 . 40(a ) Failed to keep signed copy of manifests from the designated facility for three years . Missing signed manifest: -016636239JJk (6-5- 18) -014374359JJK (4- 12- 18) Manifest numbers 016636239JJk , 014374359JJK were found without a signed off copy from the destination facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three years and have them readily available for review. 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 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest, with some indication that the generator has not received confirmation of delivery . This information 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 manifests or prepare and submit the required information to DTSC . Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC . Please provide copies of the missing signed manifest and disposal records to EHD by May , 23rd 2019 . This is a Class II violation . FA0012753 PRO516718 SCOW 04/23/2019 EHD 22-01 Rev. 09/27/2018 Page 4 of 6 Small Quantity Hazardous Waste Generator OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com