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SAKI j OA J I N Environmental Health Department <br /> -- CUUN I Y - - - <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> OfficeMax#6298 4733 QUAIL LAKES DR, STOCKTON August 10,2020 <br /> Notes: <br /> -The facility generated .0035 tons of hazardous waste in 2019 according to the facility's 2019 uniform <br /> hazardous waste manifests. <br /> - OBSERVATION: Hazardous waste containers were observed on-site with incomplete labeling. The containers <br /> were: <br /> 1.A Toxics and State Regulated Hazardous Waste container, storing pens and markers,was missing the name <br /> of the generator on the hazardous waste label. <br /> REGULATION GUIDANCE: All hazardous waste containers shall be marked with the following information: the <br /> words"Hazardous Waste", name and address of generator, hazardous properties, physical state, composition <br /> (contents), accumulation start date <br /> CORRECTIVE ACTION: The violation was corrected during the inspection by Amy Bradford, the store <br /> manager, who wrote the name of the generator on the hazardous waste label. No further action is required to <br /> correct this violation. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 9/9/2020. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided during inspection: Hazardous Waste Labeling Requirements guidance sheet, List of Free <br /> CUPA Training Classes, Return To Compliance Certification & Corrective Action Statement form <br /> Waste streams found: pens and markers, ink cartridges <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: August 10, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: ELIANNA FLORIDO, REHS (209)468-0343 <br /> Amy Bradford, Store Manager <br /> FA0006416 PR0541320 SCO01 08/10/2020 <br /> EHD 22-01 Rev.8/11/2020 Page 6 of 6 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.sjgov.org/EHD <br />