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SAN J 0 A Q U 1 N Environmental Health Department <br /> U ; I y 1 Iii AMENDED <br /> 11/10/2021 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ESCALON PREMIER BRANDS 1 1905 S MCHENRY AVE, ESCALON August 31, 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: Designated facility signed and dated copies of Uniform Hazardous Waste Manifests (UHWM) <br /> were not found on-site. The missing manifests are: <br /> 006566121 SKS <br /> 006391650SKS <br /> 006391751 SKS <br /> 006391648SKS <br /> 006391651 SKS <br /> 006391649SKS <br /> 006687690SKS <br /> 006952905SKS <br /> 007040343SKS <br /> 007070157SKS <br /> 007400924SKS <br /> 007669937SKS <br /> 007684896SKS <br /> 007770166SKS <br /> 007770162SKS <br /> 007770163SKS <br /> 007724615SKS <br /> 007706330SKS <br /> 007964095S KS <br /> REGULATION GUIDANCE: A hazardous waste generator shall keep a copy of each manifest signed in <br /> accordance with section 66262.23(a)for three years or until the generator receives a signed copy from the <br /> designated facility which received the waste.This signed copy shall be retained as a record for at least three years <br /> from the date the waste was accepted by the initial transporter. The hazardous waste generator must submit a <br /> copy of the manifest to the California Department of Toxic Substances Control (DTSC)within 60 days if the <br /> destination facility signed manifest copy is not received from the transporter or designated facility. <br /> CORRECTIVE ACTION: Locate the destination facility signed manifests listed above and maintain in the facility <br /> file for three years from the date of shipping. Send a copy to the San Joaquin County Environmental Health <br /> Department(EHD). <br /> This is a Class II violation. <br /> FA0004254 PR0517881 SCO01 08/31/2021 <br /> EHD 22-01 Rev.9/16/2020 Page 5 of 9 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 />