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SAN JOAQUIN <br /> Environmental Health Department <br /> � <br /> C (D 1 l \1 T V <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> TRACY SHELL* 3725 N TRACY BLVD,TRACY November 02, 2017 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 101 CCR 66262.12 Managed a hazardous waste without an identification number. <br /> This facility's hazardous waste ID number is inactive. A hazardous waste generator shall not treat, store, dispose <br /> of,transport or offer for transportation, hazardous waste without a hazardous waste ID number. Go to the DTSC <br /> web site http://www.dtsc.ca.gov/IDManifest/PERMHWID.cfm for the form to reactivate the ID number. <br /> Immediately reactivate your hazardous waste EPA ID number and submit evidence to the EHD. <br /> This is a Class II violation. <br /> 109 CCR 66262.23(x)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> Generator copies of manifest numbers 010606317FLE and 009864915FLE were not sent to DTSC within 30 days of <br /> shipment of hazardous waste. The generator manifest copy shall be submitted to DTSC for every shipment on a <br /> manifest when California is either the generator state or the destination or consignment state. The generator <br /> 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 repeat violation, Class II. <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br /> Manifest numbers 010606317FLE and 009864915FLE were found without a signed off copy from the destination <br /> facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site <br /> for three years and have them readily available for review. If the generator did not receive a copy of the manifest <br /> with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted <br /> within 60 days of the date the waste was accepted by the initial transporter,the generator shall submit a legible copy <br /> of the missing manifest,with some indication that the generator has not received confirmation of delivery. This <br /> information shall be submitted to: <br /> DTSC Report Repository <br /> Generator Information Services Section <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806 <br /> Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. <br /> Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. <br /> This is a repeat violation, Class II. <br /> FA0003780 PR0521598 SCO01 11/02/2017 <br /> EHD 22-01 Rev.09/22/16 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 />