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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Far: (209)468-3433 Web:www.sicehd.com <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility Facility in <br /> Name: Address: <br /> Date'. <br /> Universal Waste V R COS <br /> 713 CCR 66273.35 Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored <br /> 330 ❑ ❑ ❑ <br /> 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures(V318) ❑ ❑ ❑ <br /> 715 1 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years(V784) o ❑ ❑ <br /> Appliance Recycler V R COS <br /> 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR)(V886) o ❑ o <br /> 802 HSC 25211.2, Failure of a CAR to provide docs that materials that require special handling have been removed(V887) <br /> ❑ o ❑ <br /> H25211.3 <br /> Other Violations V R COS <br /> 3010 See below Unlisted Administration/Documentation violation(V263) ❑ ❑ <br /> 3020 See below Unlisted Training violation(V262) ❑ ❑ <br /> 3030 See below Unlisted Operations/Maintenance violation(V266) o ❑ ❑ <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) ❑ ❑ ❑ <br /> 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation(V265) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS Il, or.MINOR—Notice to Comply <br /> I - 7 <br /> V <br /> ALL EHD STAFF E ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THI FjyjS SU JECT TO REINSPECTION AT ANYTIME AT END'S CURRENT HOURLY RATE. <br /> Received by s' ): Title: Date: <br /> Received by( tried namd): Inspec Inspector phone: <br /> �l —✓7 A ' 1 cl�'�S <br /> EHD 22-01 REV 07/28/16 Page 3 HW SQG INSPECTION REPORT <br />