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S A N sJ O A Q U I N Environmental Health Department <br /> -- -COUNTY— - <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Marshalls 0381 2429 W Kettleman Ln, Lodi August 17, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <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 and dated copies of Uniform Hazardous Waste Manifests(UHWM) <br /> were not found on-site. The missing manifests are: <br /> -014024036FLE(2/7/2020) <br /> -014024038FLE(2/7/2020) <br /> -013657399FLE(10/31/2019) <br /> -013657400FLE(10/31/2019) <br /> -013657401 FILE(10/31/2019) <br /> -012962745FLE(2/11/2019) <br /> -011392646FLE(8/22/2018) <br /> -010868275FLE(2/21/2018) <br /> REGULATION GUIDANCE: A hazardous waste generator shall keep a copy of each manifest signed in accordance <br /> with section 66262.23(a)for three years or until the generator receives a signed copy from the designated facility <br /> which received the waste. This signed copy shall be retained as a record for at least three years from the date the <br /> waste was accepted by the initial transporter. The hazardous waste generator must submit a copy of the manifest <br /> to the California Department of Toxic Substances Control (DTSC)within 60 days if the destination facility signed <br /> manifest copy is not received from the transporter or designated facility. <br /> CORRECTIVE ACTION: Locate the the destination facility signed manifests listed above and maintain in the facility <br /> file for three years from the date of shipping. Send a copy to the San Joaquin County Environmental Health <br /> Department(EHD). <br /> This is a Class II violation. <br /> FA0014477 PR0539288 SCO01 08/17/2020 <br /> EHD 22-01 Rev.8/11/2020 Page 6 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.sjgov.org/EHD <br />