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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUN r <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> JIFFY LUBE#598 1 1130 N MAIN ST, MANTECA September 27, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 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 /> Manifestld ShipDate StateCode WasteQnty <br /> 018233710JJK 10/18/2018 22370 G <br /> 017468963JJK 2/4/2019 22345 G <br /> 017468962JJK 4/15/2019 22343 G <br /> 018233711JJK 7/29/2019 22385 G <br /> 020383341JJK 8/9/2019 352 250 P <br /> 018530194JJK 9/12/2019 223 105 G <br /> 018233708JJK 10/30/2019 22390 G <br /> 018170439JJK 11/26/2019 352 450 P <br /> 017468961JJK 12/27/2019 221 80 G <br /> 017468960JJK 2/24/2020 22355 G <br /> 018238216JJK 3/26/2020 223 100 G <br /> 017468959JJK 4/24/2020 22360 G <br /> 021522031JJK 6/17/2020 22350 G <br /> 021523686JJK 8/14/2020 22350 G <br /> 021522193JJK 10/14/2020 22380 G <br /> 016769367JJK 12/7/2020 22350 G <br /> 021522356JJK 3/24/2021 22355 G <br /> 020381479JJK 4/19/2021 352 250 P <br /> 021526881JJK 7/16/2021 90 G <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. The hazardous waste generator must submit an exception report to <br /> the California Department of Toxic Substances Control (DTSC)within 45 days if the destination facility signed <br /> 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 file <br /> 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 repeat violation, Class ll. <br /> FA0003741 PR0514050 SCO01 09/27/2021 <br /> EHD 22-02 Rev.9/16/2020 Page 5 of 10 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 />