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SA f V J 0M I I V Environmental Health Department <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DOLLAR TREE 407648 1 318 W MAIN ST. RIPON May 15. 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 109 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> Copies of the following manifests numbers were observed on site: <br /> -011386145FLE(2/18/19)(IMG 6441) <br /> -011386146FLE(2/18/19)(IMG 6442) <br /> -011386147FLE(2/18/19)(IMG 6443) <br /> According to Renesha Jackson,store manager, manifests received by the facility for the disposal of hazardous waste <br /> are kept in a file folder in the facility office, and copies of the manifests are not sent or mailed anywhere. <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 /> FA0000734 PRO543984 SCO01 05/15/2019 <br /> EHD 22-01 Rev.09/27/2018 Page 9 of 17 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 />