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Environmental Health Department <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />November 20, 2019 <br /> Facility Address: <br /> 10520 Trinity Pkwy, Stockton <br /> Facility Name: <br /> PetSmart #1188 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />OBSERVATION: Designated facility signed copies of the following Uniform Hazardous Waste Manifest (UHWM) <br />numbers were not found on-site: <br />- 013120049FLE (7/17/2019) (generator copy also not found on site) <br />- 012956359FLE (1/24/2019) (see photo IMG 9485) <br />- 010740496FLE (8/8/2019) (IMG 9486) <br />- 017622103JJK (12/20/2017) (generator copy also not found on site) <br />- 016937182JJK (8/10/2017) (generator copy also not found on site) <br />REGULATION GUIDANCE: A hazardous waste generator shall keep a copy of each manifest signed in <br />accordance with section 66262.23(a) for three years or until the generator receives a signed copy from the <br />designated facility which received the waste. This signed copy shall be retained as a record for at least three years <br />from the date the waste was accepted by the initial transporter. The hazardous waste generator must submit a <br />copy of the manifest to the California Department of Toxic Substances Control (DTSC) within 60 days if the <br />destination facility signed manifest copy is not received from the transporter or designated facility. <br />CORRECTIVE ACTION: Locate a copy of the destination facility signed manifests listed above and send a copy to <br />the San Joaquin County Environmental Health Department (EHD). If the destination facility signed manifests <br />cannot be found then send to DTSC a copy of each generator signed manifest and a statement that the designated <br />facility signed copy was not received by the generator. DTSC address is DTSC Report Repository, Generator <br />Information Services Section, PO Box 806, Sacramento, CA 95812-0806. Provide a corrective action statement <br />to the EHD within 30 days. <br />This is a Class II violation. <br />FA0018247 PR0540513 SC001 11/20/2019 <br />EHD 22-01 Rev. 9/20/2019 Small Quantity Hazardous Waste Generator OIRPage 6 of 10 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com