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SAN" J D�l+ �� I 1411" Environmental Health Department <br /> COUNTY�l <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Big Lots Lodi 4106 380 S CHEROKEE LN Lodi July 15, 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 Janette Tomas, Store Manager, and Connie San Martin,Assistant Store Manager, manifests received by <br /> the facility for the disposal of hazardous waste are kept in a file binder in the facility office, and copies of the manifests <br /> 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 /> -002185121 PSC(4/1/19) <br /> -002185123PSC(4/1/19) <br /> -002121941 PSC(2/8/19)(IMG 7294-5) <br /> -002121938PSC(2/8/19)(IMG 7292-3) <br /> -002002324PSC(10/16/18)(IMG 7296-7) <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 /> FA0000997 PRO538911 SCO01 07/15/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 5 of 9 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 />