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S I{ N JO A Q U I N Environmental Health Department —COUNTY- Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: Dollar Tree#02189 1 1389 E Yosemite Ave, Manteca May 16 2019 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 111 CCR 66262.42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements. The following manifest numbers were not found on site: -013120561 FLE(5/9/19) -013120563FLE(5/9/19) -013120562FLE(5/9/19) Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the destination facility is received. The signed off copy shall be retained and made readily available for review for three years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 days of the date the waste was accepted by the initial transporter, the generator shall submit a legible copy of the missing manifest,with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Submit to the EHD a copy of the signed off copy of the manifests or a copy of the information submitted to DTSC. This is a Class II violation. Overall Inspection Comments: Notes: -Violations 110 and 111 were added, since at the time of inspection, manifests 013120561 FLE(5/9/19), 013120563FLE (5/9/19), and 013120562FLE (5/9/19)were not provided to the inspector for review. An inspection checklist was provided to the facility operator on the day of inspection. The EHD has written and amended the complete report which replaces the initial checklist on 6/24/2019. Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the corrective actions that have been or will be taken for each violation, and any supporting paperwork, by 7/24/2019. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an appointment, please call (209) 468-3420. Provided: List of free CUPA Training Classes, Return to Compliance Certification FA0013971 PR0539180 SCO01 05/16/2019 EHD 22-01 Rev.09/27/2018 Page 9 of 10 Small Quantity Hazardous Waste Generator OR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com