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SACS OAOUIN <br />Environmental Health Department <br />AMrMFM <br />8/20/2019 <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address:Yuqust <br />Dollar General #14661 <br />1940 McHenryAve Escalon <br />14 2019 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />109 <br />CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br />According to David Barajas, Store Manager, manifests received by the facility for the disposal of hazardous waste are <br />kept in a binder in the hazardous waste storage area, and copies of the manifests are not sent or mailed anywhere. <br />The Dollar General Environmental Compliance Program Training also indicated that manifest copies are to be kept in <br />the binder, and did not indicate that manifest copies are sent or mailed anywhere. <br />Copies of the following manifests numbers were observed on site, but are not on file with DTSC: <br />- 011386375FLE (4/5/19) <br />- 011386376FLE (4/4/19) <br />- 011386015FLE (1/24/19) <br />- 0 1 1386014FLE (1/25/19) <br />- 011385092FLE (9/20/18) <br />- 011385093FLE (9/21/18) (IMG 8330) <br />- 005888291 FILE (6/20/2018) <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 />FA0022207 PR0540012 SCO01 08/14/2019 <br />EHD 22-01 Rev. 09/27/2018 Page 7 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 />