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SAN ,dDAQ U I N Environmental Health Department <br /> CCUNTY AMENDED <br /> 6/15/2021 <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> PEP BOYS#0710 845 E DR MARTIN LUTHER KING JR BLVD, June 08, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 119 HSC 25160.2(b)(4)Consolidated manifest receipts failed to contain complete information. <br /> OBSERVATION: Consolidated manifest receipts found on-site for disposal of hazardous waste contain incomplete <br /> information. The following consolidated manifest receipts were missing the signature of the generator: <br /> - 1/21/2020 for the disposal of used oil <br /> - 1/30/2020 for the disposal of oily paper filters <br /> -7/8/2020 for the disposal of oily paper filters <br /> -8/11/2020 for the disposal of used antifreeze <br /> -8/11/2020 for the disposal of used oil <br /> -8/28/2020 for the disposal of used oil <br /> - 10/16/2020 for the disposal of oily paper filters <br /> - 12/1/2020 for the disposal of used oil <br /> - 12/15/2020 for the disposal of used oil <br /> REGULATION GUIDANCE: (4)All copies of each receipt shall contain all of the following information: <br /> (A)The name, address, identification number, contact person, and telephone number of the generator, and the <br /> signature of the generator or the generator's representative. <br /> (B)The date of the shipment. <br /> (C)The manifest number. <br /> (D)The volume or quantity of each waste stream received, its California and RCRA waste codes,the wastestream <br /> type listed in subdivision (c), and its proper shipping description, including the hazardous class and United <br /> Nations/North America(UN/NA)identification number, if applicable. <br /> (E)The name, address, and identification number of the authorized facility to which the hazardous waste will be <br /> transported. <br /> (F)The transporter's name, address, and identification number. <br /> (G)The driver's signature. <br /> (H)A statement, signed by the generator, certifying that the generator has established a program to reduce the <br /> volume or quantity and toxicity of the hazardous waste to the degree, as determined by the generator,to be <br /> economically practicable. <br /> CORRECTIVE ACTION: Ensure that future consolidated manifest receipts are complete when signed by facility <br /> personnel. Provide a corrective action statement to the San Joaquin County Environmental Health Department <br /> (EHD)within 30 days. <br /> This is a Class II violation. <br /> FA0003984 PR0513936 SCO01 06/08/2021 <br /> EHD 22-02 Rev.9/16/2020 Page 9 of 13 Large 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 />