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SAN J D AR I N Environmental Health Department <br /> Y AMENDED <br /> 8/16/2021 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> QUIK STOP MARKET#138 1 1153 LINCOLN BLVD, TRACY August 11, 2021 <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: The business operator could not provide hazardous waste disposal records for the past three <br /> years during the inspection. Including the following manifests: <br /> -012173092FLE, ship date 8/21/2018 <br /> -014261722FLE, ship date 12/20/2019 <br /> -014261715FLE, ship date 12/20/2019 <br /> -014679595FLE, ship date 9/22/2020 <br /> -014679596FLE, ship date 9/22/2020 <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 disposal records for the past three years 8/16/2018-8/11/2021 for all <br /> hazardous waste including fuel contaminated solids and fuel contaminated liquids. Provide these records and a <br /> corrective action statement to the EHD within 30 days. <br /> This is a repeat violation, Class Il. <br /> Overall Inspection Comments: <br /> An inspection report was provided to the facility operator on the day of inspection. The report was amended to <br /> include more information for#110. This amended report replaces the initial report. <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, within 30 days of receiving the amended inspection report. <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: Date: Inspector: Inspector Phone: <br /> Printed Name and Title: CAROL PRESTO, EH Specialist (209)616-3061 <br /> FA0003122 PR0521536 SCO01 08/11/2021 <br /> EHD 22-01 Rev.9/16/2020 Page 4 of 4 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 />