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) A ' Environmental Health Department SANS .OQ- � - G'C� U N 7• Y JW4 a r' :-k'a 0.11t% was, rp » ct y is as 1Rsaaz rc0< -::` r F �Fti r .fit.= t ; " 1` Tt`Y' ' " 0 SmallaE uantitY{Ha ou Uk Va9te�Gener,.ator; Inspecfilon Repo,lrt phi <<, -.4u •. .� ; � . ,f. ;@i.E .•�s lTYttrJ.; :'•l '.r' <Y.b:Rr?v,2k:• ?'c:. r+:Y4,:sJ,.�.,,:.� . ,Vi4•WYfld�da`E ..; K... »r `. '^Y`As' • .2 .r, . Js . Facility Name: Facility Address: Date: AutoZone #5684 1339 S Sutter St, Stockton ugust 2021 . .... . .. . A24rMin ' yy;FT;`w.�;'::::;,:. ..t-'< :,. �,;.. i' i' ! •_3v . a;alb. a,.�:a[;h.z.y { - im , " ..- a . .•;PiZIO ,.,$�, l ; :rrr• = :a . ..: : ':� _ - . ..... ..•'�; ..ea . i.l . fr. r,. aJv ;I�,`•.H•;;2r :.rr•;tev�N , • r.. - Item # I Remarks 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated 'faciilty for three years. OBSERVATION : Designated facility signed and dated copy of Uniform Hazardous Waste Manifest (UHWM) 015956421 FLE (6/24/2021 ) was not found on-site . REGULATION GUIDANCE: A hazardous waste generator shall keep a copyof each manifest signed in accordance with section 66262.23(a ) for three years or until the generator receives a signed copy from the designated facility which received the waste. This signed copy shall be retained as a record for at least three years from the date the waste was accepted by the initial transporter. The hazardous waste generator must submit a copy of the manifest to the California Department of Toxic Substances Control (DTSC) Within 60 days if the destination facility signed manifest copy is not received from the transporter or designated facility. CORRECTIVE ACTION : Locate the destination facility signed manifests listed above and maintain in the facility file for three years from the date of shipping . Send a copy to the San Joaquin County Environmental Health Department (EHD). This is a repeat violation , Class 11 . 111 CCR 66262,42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements. OBSERVATION: The facility did not have exception reports on site for Uniform Hazardous Waste Manifest (UHWM) 015956421 FLE (6/24/2021 ). REGULATION GUIDANCE: (a) A generator who does not receive a copy of the manifest with the handwritten signature of the owner or operator of the designated facility within 35 days of the date the waste was accepted by the initial transporter shall contact the transporter and/or the owner or operator of the designated facility to determine the status of the hazardous waste . (c) A hazardous waste generator who does not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste is submitted, within 60 days from the date that the hazardous waste was accepted by the initial transporter, shall submit to the department a legible copy of the manifest, with some indication that the generator has not received confirmation of delivery. (d) Generators shall submit the information to the department at: DTSC Report Repository, Generator Information Services Section , P.O. Box 806, Sacramento, CA 95812-0806 CORRECTIVE ACTION : Locate a copy of the destination facility signed manifests and send a copy to the San Joaquin County Environmental Health Department (EHD). If the destination facility signed manifests cannot be found then send to DTSC a copy of each generator signed manifest and a statement that the designated facility signed copy was not received by the generator. DTSC address is DTSC Report Repository, Generator Information Services Section , PO Box 806 , Sacramento, CA 95812-0806, Provide a corrective action statement to the EHD within 30 days . This is a repeat violation, Class 11 , FA0011243 PR0519237 SC001 08/2412021 EHD 2241 Rev. 911612020 Page 5 of 6 Small Quantity Hazardous Waste Generator OIR 1868 E. Hazelton Avenue Stockton , California 952051 T 209 468-3420 F 209 464-0138 www.sjgov.org/EHD