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SA N J O Q n` , I e I�I Environmental Health Department <br /> COUNTY- <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Dollar Tree#02189 1 1389 E Yosemite Ave, Manteca May 16 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 Adriana Montoya,Asst. Operations Manager, manifests received by the facility for the disposal of <br /> hazardous waste are kept in a file folder in the facility office, and copies of the manifests are not sent or mailed <br /> anywhere. <br /> Copies of the following manifests numbers were observed on site, but are not on file with DTSC: <br /> -012039622FLE(9/7/18)(IMG 6479) <br /> -012039621 FILE(9/7/18)(IMG 6484) <br /> -011386003FLE(1/23/19)(IMG 6483) <br /> -011386005FLE(1/23/19)(IMG 6481) <br /> -011386004FLE(1/23/19)(IMG 6480) <br /> The following manifest numbers were not found on site, and are not on file with DTSC: <br /> -013120561 FILE(5/9/19) <br /> -013120563FLE(5/9/19) <br /> -013120562FLE(5/9/19) <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 /> FA0013971 PR0539180 SCO01 05/16/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 7 of 10 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 />