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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:www.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> n�.Jne -npr. r-n In r�, ,,nr a , ,� �i September 17, 70 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> CCR 66262.34(d)(2) No modified contingency plan. <br /> An emergency coordinator and modified contingency plan information was not found during the inspection. The facility <br /> CERS submittal indicates that the emergency contingency plan information is stored on site. There must be at least <br /> one emergency coordinator on site or on call to coordinate emergency response measures, and the following <br /> information must be posted by a phone:the name and phone number of the emergency coordinator; location of fire <br /> extinguishers, spill control equipment, and if present, fire alarm; and the phone number of the fire department, unles <br /> the facility has a direct alarm. Immediately appoint an emergency coordinator and post the required information by a <br /> phone. A form is provided that can be used for this purpose. <br /> This is a minor violation. <br /> HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information. <br /> mix uuiisulivaieu Inan;resi iuuelpis rui useu uu vie; iiussuiy mte s cu,iuni active EPA ID#CAL000338875. <br /> American Valley Waste Oil, Inc. consolidated manifests with invoice numbers 124191 from 5-28-14, 121127 from <br /> 1-15-14, 123833 from 4-22-14, 126451 from 7-23-14, and 129404 from 11-11-14, and Crystal Blue Environmental <br /> consolidated manifest with invoice number 1308 from 1-15-15 were each missing the facility's current active EPA ID# <br /> CAL000338875. All copies of each receipt shall contain all of the following information: <br /> -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 /> - The date of the shipment; <br /> - The manifest number; <br /> - The volume or quantity of each waste stream received, its California and RCRA waste codes, the waste stream <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 /> - The name, address, and identification number of the authorized facility to which the hazardous waste will be <br /> transported; <br /> -The transporter's name, address. and identification number; <br /> - The driver's signature; <br /> -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 /> Ensure that all future receipts for hazardous waste shipments using a consolidated manifesting procedure contain all <br /> required information. <br /> This is a minor violation. <br /> Received by Inspector: " Phone: Date: <br /> (initial): "} ARIS VELOSO, Senior REHS _ 17/2015 <br /> Page 4 of 7 <br />