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S b N J 0 A Q U I N Environmental Health Department <br /> COUNTY <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> TRACY WASTEWATER TX PLNT-LAB 3900 HOLLY DR, TRACY April 02, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 105 CCR 66262.34(d)(2)No emergency coordinator. <br /> An emergency coordinator is lacking.The emergency coordinator was listed as Russell Rocha. Per facility <br /> personnel, Russell Rocha, is no longer acting as emergency coordinator. There must be at least one emergency <br /> coordinator on site or on call to coordinate emergency response measures, and the following information must be <br /> posted by a phone:the name and phone number of the emergency coordinator; location of fire extinguishers, spill <br /> control equipment, and if present,fire alarm; and the phone number of the fire department, unless the facility has a <br /> direct alarm. Immediately appoint an emergency coordinator and post the required information by a phone.A form is <br /> provided that can be used for this purpose. <br /> This is a minor violation. <br /> 110 CCR 66262.40(a)Failed to keep signed copy of manifests from the designated facility for three years. <br /> Manifest numbers: <br /> -000176818DAT(9/12/2017) <br /> -000176820DAT(9/12/2017) <br /> were found without a signed off copy from the destination facility. Hazardous waste generators shall retain copies of <br /> all manifests signed off by the destination facility on site for three years and have them readily available for review. <br /> If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the <br /> facility to which the generator's waste was submitted within 60 days of the date the waste was accepted by the initial <br /> transporter,the generator shall submit a legible copy of the missing manifest,with some indication that the <br /> generator has not received confirmation of delivery. This information 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 manifests or prepare and submit the required information to DTSC. <br /> Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. <br /> This is a repeat violation, Class II. <br /> FA0020439 PR0535446 SCO01 04/02/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 4 of 6 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 />