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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 />110 <br />CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />The following manifest numbers were found without a signed off copy from the destination facility: <br />- 012039575FLE (8/23/18) <br />- 012039574FLE (8/24/18) (IMG 7801) <br />- 010868380FLE (3/28/18) (IMG 7803) <br />- 010868381 FLE (3/28/18) (IMG 7802) <br />- 010788839FLE (12/7/17) (IMG 7805) <br />- 010788838FLE (12/7/17) (IMG 7804) <br />Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three <br />years and have them readily available for review. If the generator did not receive a copy of the manifest with the <br />handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 <br />days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the <br />missing manifest, with some indication that the generator has not received confirmation of delivery. This information <br />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 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 Class II violation. <br />FA0002093 PRO537154 SCO01 07/29/2019 <br />EHD 22-01 Rev. 09/27/2018 Page 8 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 />