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S0 JOA U 1 Environmental Health Department <br /> U ; i y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> S-Mart#91 1 7506 Pacific Ave, Stockton October 26, 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 /> -013649651 FLE (7/30/2019) <br /> -011434018FLE (9/7/2018) <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: The violation was corrected during the inspection by Jeff Cox, Store Manager,who <br /> emailed Gina Nalezny, Environmental Health &Safety Manager, to provide him with a copy of the designated facility <br /> signed manifests. Gina emailed Jeff a copy of the signed manifests at the time of inspection. No further action is <br /> required to correct this violation. <br /> This is a Class II violation. <br /> FA0002617 PR0539363 SCO01 10/26/2020 <br /> EHD 22-01 Rev.9/16/2020 Page 6 of 8 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 />