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SAN J 0 A Q U I N Environmental Health Department - COUNTY - Small OUNTY -Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: Smart& Final#403 1 147 N Wilson Way, Stockton October 31, 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. OBSERVATION: The facility did not have exception reports on site for the following Uniform Hazardous Waste Manifests(UHWM): -020590260JJK(9/25/2019)(see photo IMG 9199) -020202871JJK(7/25/2019)(generator copy also not found on site) -012962869FLE(4/4/2019)(IMG 9200) -011386222FLE(3/5/2019)(IMG 9201) -011386221 FLE(3/5/2019)(IMG 9202) -012962758FLE(2/13/2019)(generator copy also not found on site) -011392825FLE(11/13/2018)(IMG 9204) -012120094FLE(10/2/2018)(IMG 9205) -011392693FLE(9/13/2018)(generator copy also not found on site) -010868402FLE(4/4/2018)(IMG 9208) -010790389FLE(10/23/2017)(IMG 9210) -008553743FLE(7/5/2017)(IMG 9211) -008548533FLE(1/31/2017)(generator copy also not found on site) REGULATION GUIDANCE: (a)A generator who does not receive a copy of the manifest with the handwritten signature of the owner or operator of the designated facility within 35 days of the date the waste was accepted by the initial transporter shall contact the transporter and/or the owner or operator of the designated facility to determine the status of the hazardous waste. (c)A hazardous waste generator who does 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 is submitted,within 60 days from the date that the hazardous waste was accepted by the initial transporter, shall submit to the department a legible copy of the manifest,with some indication that the generator has not received confirmation of delivery. (d)Generators shall submit the information to the department at: DTSC Report Repository, Generator Information Services Section, P.O. Box 806, Sacramento, CA 95812-0806 CORRECTIVE ACTION: Locate a copy of the destination facility signed manifests and send a copy to the San Joaquin County Environmental Health Department(EHD). If the destination facility signed manifests cannot be found then send to DTSC a copy of each generator signed manifest and a statement that the designated facility signed copy was not received by the generator. DTSC address is DTSC Report Repository, Generator Information Services Section, PO Box 806, Sacramento, CA 95812-0806. Provide a corrective action statement to the EHD within 30 days. This is a Class II violation. FA0001579 PRO539378 SCO01 10/31/2019 EHD 22-01 Rev.9/20/2C19 Page 9 of 15 Small Quantity Hazardous Waste Generator OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com