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SAN <br /> J O A Q U I ` , Environmental Health Department <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Dollar General#14353 915 E Yosemite Ave. Manteca July 31, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> The fallowing manifests were not found on site: <br /> -013120477FLE(4/22/19) <br /> -013120476FLE(4/22/19) <br /> -005888200FLE(5/25/18) <br /> -011387029FLE(3/14/18) <br /> -008548655FLE(3/29/17) <br /> -008548865FLE(5/18/17) <br /> -010685552FLE(9/13/17) <br /> -008572425FLE(10/20/16) <br /> -008664889FLE(9/23/16) <br /> The following manifest numbers were found without a signed off copy from the destination facility: <br /> -011385113FLE(9/28/18)(IMG 7935) <br /> -011385114FLE(9/28/18)(IMG 7936) <br /> -010789016FLE(1/11/18)(IMG 7932) <br /> -008631527FLE(1/12/17)(IMG 7933) <br /> -008680359FLE(11/16/17)(IMG 7930) <br /> -010168248FLE(7/13/17)(IMG 7931) <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 /> FA0021712 PR0537831 SCO01 07/31/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 9 of 14 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 />