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saN .JoaQuiN Environmental Health Department <br /> COUNTY <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Dollar General#13593 4232 E Main St. Stockton July 29. 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 109 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> According to John Salvino, 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 /> -012963080FLE(4/3/19)(IMG 7736) <br /> -012485886FLE(1/23/19)(IMG 7738) <br /> -012485885FLE(1/24/19)(IMG 7737) <br /> -011434269FLE(8/7/18)(IMG 7740) <br /> -011434270FLE(8/8/18)(IMG 7739) <br /> The generator manifest copy shall be submitted to DTSC for every shipment on a manifest when California is either <br /> the 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 /> FA0002222 PR0537835 SCO01 07/29/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 6 of 10 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />