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SAN <br /> J D �� I Environmental Health Department <br /> COUNTY <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> NIAGARA BOTTLING, LLC 811 ZEPHYR ST, STOCKTON September 12, 2018 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 102 CCR 66262.11 Failed to determine if a waste is a hazardous waste. <br /> There was an open container holding leaky ink cartridges along with six bottles of one liter WL-200 Wash being <br /> stored in the maintenance cage in the middle of the bottling floor. <br /> Any person who generates a waste shall determine if the waste is a hazardous waste. Make a hazardous waste <br /> determination for the the above wastes, and manage it according the Title 22 hazardous waste regulations. Submit <br /> a statement and supporting documentation including disposal records explaining how this waste was managed. <br /> This is a minor violation. <br /> 108 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter. <br /> Manifest number 0123289908FLE dated 7/3/2018 was incomplete. There were no waste codes or waste quantity <br /> written on the manifest for the antifreeze waste. <br /> The generator and waste sections of the uniform manifest shall be completed and signed and dated by the <br /> generator. The transporter shall also sign and date the manifest. Ensure that all manifests are properly completed <br /> for any transport of a hazardous waste for off-site transfer,treatment, storage or disposal. <br /> Please complete a manifest correction letter. <br /> A manifest correction letter must be sent to DTSC whenever hazardous waste manifests submissions contain <br /> incorrect or incomplete information. <br /> To submit a letter, please provide the manifest corrections on company letterhead, and include the following <br /> information: <br /> The manifest tracking number; either 8-digits(pre-September 5, 2006 shipments, DTSC 8022A)or the unique <br /> three-letter suffix preceded by nine numerals,which is pre-printed in Item 4 of the manifest(shipments on or after <br /> September 5, 2006, EPA 8700-22, new federal manifest form). <br /> The generator date;the date the generator signed the manifest. <br /> The generator EPA ID number used on the original manifest, even if it was incorrect. <br /> The incorrect or incomplete item number from the manifest. <br /> The corrected information. <br /> The signature,title, mailing address, and phone number of the person submitting the correction. <br /> Send manifest correction letters to: <br /> DTSC <br /> Business Operations Unit <br /> Attention: Manifest Corrections <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806 <br /> This is a minor violation. <br /> FA0018628 PR0539941 SCO01 09/12/2018 <br /> EHD 22-01 Rev.10/31/2017 Page 4 of 7 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 />