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SAN JDANIN <br />COUNTY <br />Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />DOLLAR GENERAL #13632 <br />2907 E WATERLOO RD STOCKTON <br />July 29 2019 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />109 <br />CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br />According to Oscar Arvayo, Store Manager, manifests received by the facility for the disposal of hazardous waste are <br />kept in a binder in the hazardous waste storage area, and copies of the manifests are not sent or mailed anywhere. <br />Copies of the following manifests numbers were observed on site, but are not on file with DTSC: <br />- 012485889FLE (1/23/19) (IMG 7808) <br />- 012485887FLE (1/24/19) <br />- 012485888FLE (1/24/19) (IMG 7807) <br />- 012039575FLE (8/23/18) <br />- 012039574FLE (8/24/18) (IMG 7801) <br />The generator manifest copy shall be submitted to DTSC for every shipment on a manifest when California is either the <br />generator state or the destination or consignment state. The generator manifest copy shall be mailed to: <br />DTSC Generator Manifests <br />P.O. Box 400 <br />Sacramento, CA 95812-0400 <br />Immediately mail a copy of the manifests listed and ensure that copies of all generator manifests are sent to DTSC <br />within 30 days of shipping hazardous waste. <br />This is a Class II violation. <br />FA0002093 PRO537154 SCO01 07/29/2019 <br />EHD 22-01 Rev. 09/27/2018 Page 7 of 11 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 />