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S A N J 0 A Q I I I Irl Environmental Health Department <br /> CCUNT <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> AutoZone#5682 1 1300 W Kettleman Ln, Lodi October 18, 2021 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 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 consolidated manifest receipts are: <br /> -7/9/2020 (missing waste code) <br /> -5/14/2020(missing waste code) <br /> -3/19/2020 (missing waste code) <br /> -2/21/2020(missing waste code) <br /> -11/14/2019(missing waste code) <br /> -10/24/2019(missing waste code) <br /> -10/3/2019 (missing waste code) <br /> -5/15/2019(missing waste code) <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 minor violation. <br /> Overall Inspection Comments: <br /> This report is for the Used Oil Collection Center. <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, by November 18, 2021. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> FA0010932 PR0546741 SCO01 10/18/2021 <br /> EHD 22-01 Rev.9/16/2020 Page 5 of 6 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 />