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S 11�1 N J OAQ I I N Environmental Health Department
<br /> COUNTY— AMENDED
<br /> 11/25/2019
<br /> Small Quantity Hazardous Waste Generator Inspection Report
<br /> Facility Name: Facility Address: Date:
<br /> GOLDEN STATE LUMBER INC 3033 S Airport Way, Stockton November 22, 2019
<br /> SUMMARY OF VIOLATIONS
<br /> (CLASS I,CLASS II,or MINOR-Notice to Comply)
<br /> Item# Remarks
<br /> 114 HSC 25160.2(b)(4)Consolidated manifest receipts failed to contain complete information.
<br /> OBSERVATION: Consolidated manifest receipts found on-site for disposal of hazardous waste picked up by
<br /> Maximum Oil Service contained incomplete information.
<br /> -Invoice 46893, 1/20/2019,for the pickup of used oil,was missing information on where the waste was taken.
<br /> -Invoice 50992, 10/3/2019,for the pickup of used oil,was missing information on where the waste was taken.
<br /> -Invoice 49880, 7/30/2019,for the pickup of used oil,was missing information on where the waste was taken.
<br /> -Invoice 49317, 5/15/2019,for the pickup of used oil,was missing information on where the waste was taken.
<br /> -Invoice 45577, 1/23/2018,for the pickup of used oil and used antifreeze,was missing information on where the
<br /> waste was taken.
<br /> -Invoice 45998,4/9/2018,for the pickup of used oil,was missing information on where the waste was taken.
<br /> -Invoice 46085, 6/19/2019,for the pickup of used oil,was missing information on where the waste was taken and
<br /> the generator signature.
<br /> -Invoice 46803, 7/25/2018,for the pickup of used oil,was missing information on where the waste was taken.
<br /> Invoice 47801, 10/9/2018,for the pickup of used oil and used antifreeze,was missing information on where the
<br /> waste was taken.
<br /> Invoice 47930, 11/21/2018,for the pickup of used oil,was missing information on where the waste was taken and
<br /> the generator signature.
<br /> REGULATION GUIDANCE: (4)All copies of each receipt shall contain all of the following information:
<br /> (A)The name, address, identification number, contact person, and telephone number of the generator, and the
<br /> signature of the generator or the generator's representative.
<br /> (B)The date of the shipment.
<br /> (C)The manifest number.
<br /> (D)The volume or quantity of each waste stream received, its California and RCRA waste codes, the wastestream
<br /> type listed in subdivision (c), and its proper shipping description, including the hazardous class and United
<br /> Nations/North America(UN/NA)identification number, if applicable.
<br /> (E)The name, address, and identification number of the authorized facility to which the hazardous waste will be
<br /> transported.
<br /> (F)The transporter's name, address, and identification number.
<br /> (G)The driver's signature.
<br /> (H)A statement, signed by the generator, certifying that the generator has established a program to reduce the
<br /> volume or quantity and toxicity of the hazardous waste to the degree, as determined by the generator, to be
<br /> economically practicable.
<br /> CORRECTIVE ACTION: Provide a corrective action statement and supporting documentation to the San Joaquin
<br /> County Environmental Health Department within 30 days.
<br /> This is a Class II violation.
<br /> FA0015541 PR0538493 SCO01 11/22/2019
<br /> EHD 22-01 Rev.9/20/2019 Page 10 of 16 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
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