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Environmental Health Department <br />AMENDED <br />4/28/2021 <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />April 26, 2021 <br /> Facility Address: <br /> 6421 CAPITOL AVE, LODI <br /> Facility Name: <br /> FLAG CITY CHEVRON <br />Other Violations <br /> 3050 □ V □ R □ COSUnlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />OBSERVATION: The business operator could not provide hazardous waste disposal records for the past three <br />years during the inspection. Elite IV work order number 4695 noted that hazardous waste (a fuel nozzle) was <br />generated on 4/20/2021. The waste was “placed in drums on site.” No hazardous waste was observed on site. <br />The facility's last documented hazardous waste pickup was before 4/20/2021. <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. <br />CORRECTIVE ACTION: Provide a copy of the disposal record for the hazardous waste that was generated from <br />the work order. Provide these records and a corrective action statement to the EHD within 30 days. <br />This is a repeat violation, Class II. <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br />finished on April 28, 2021, and replaces the initial checklist. <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 May 28, 2021. <br />The report was emailed to Stars Holding at <starsholdingco@gmail.com>. <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: Inspector Phone: <br /> JOHN ALANIZ, Senior REHS <br /> Inspector:April 28, 2021 Date: <br />Printed Name and Title: <br />Report emailed to, Stars Holding <br />(209) 616-3053 <br />FA0000485 PR0519074 SC001 04/26/2021 <br />EHD 22-01 Rev. 9/16/2020 Small Quantity Hazardous Waste Generator OIRPage 4 of 4 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/EHD