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4 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sicehd.com <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility Facility \ Inspection L <br /> Name O Phone: �A` Date:CERS <br /> Facility 20 ID: <br /> Address: L-/G/V�� ID: <br /> Inspection Title: . <br /> Contact: L <br /> Inspection Program: <br /> Type: O /7e <br /> Consent Given For: Consent <br /> nspection hotos Sampling I Given By: CLI'! "- HCl <br /> Amount of Hazardous Waste Wrte Generated I , N/, ' EPA ID: <br /> In the Last Calendar Year(Jan-Dec): ,ktii �.,_� <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat COS=Corrected on site during inspection <br /> i(5n "Aicord Keeping/Documentation V R COS <br /> 101 CCR 66262.12 Managed a hazardous waste without a valid EPA ID number(V236) X, o <br /> 102 CCR 66262 0(,,) , Failed to determine if a waste is a hazardous waste or retain waste analysis on site for 3 years(V251) o o <br /> 86262.40 c <br /> 103 CCR 66262.34(d)(2) No modified contingency plan(V299) ❑ ❑ <br /> 104 CCR 66262.34(d)(2) No emergency coordinator(V311) ❑ ❑ 0 <br /> 105 CCR 66262.34(4)(2) Failed to train employees on waste handling and emergency procedures(V242) 0 0 ❑ <br /> 106 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste(V243) ❑ ❑ 0 <br /> 107 CCR 66262.23(a) Failed to complete,sign or date manifest;or obtain dated signature of transporter(V239) ❑ 0 0 <br /> 108 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days(V246) 0 0 0 <br /> 109 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years(V241) ❑ ❑ <br /> 110 CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements(V244) 0 0 ❑ <br /> 111 CCR 66268.7(a) Failed to make determination for land disposal(V252) 0 0 0 <br /> 112 HSC 25160.2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years(V248) 0 0 <br /> 113 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information(V841) ❑ 1 ❑ 0 <br /> 114 CCR 66.81 a 4 B Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years(V250) ❑ ❑ ❑ <br /> 115 HSC 25143.10 Failed to provide information for>100 kg/mo recyclable material to claim the exclusion or exemption(V253) 0 0 ❑ <br /> 116 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report(V799) 0 ❑ ❑ <br /> 117 HSC 25404(e)(4) Failed to report program data electronically(V813) ❑ 0 <br /> Treatment Transport,and Disposal -= . . .. <br /> 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration(V297) 0 ❑ <br /> 202 HSC 25189.5(a) Disposed or caused disposal of HW at an unauthorized point(V298) ❑ ❑ ❑ <br /> 203 HSC 25189.5(c) Transported or caused transportation of hazardous waste to an unauthorized point(V786) ❑ ❑ <br /> 204 HSC 25201(a) Failed to obtain a permit to treat hazardous waste(V760) 0 0 ❑ <br /> 205 HSC 25250.7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste(V278) ❑ ❑ ❑ <br /> 206 HSC 25160.2(c)(2) Waste stream or generator not eligible to use consolidated manifesting procedure(V842) 0 0 1 D <br /> Preparedness and Prevention V R. COS <br /> 301 CCR 66262.34(4)(2) Facility not maintained to minimize the release of a hazardous waste(V303) ❑ D 0 <br /> 302 CCR 66262.34(d)(2) Failed to maintain required emergency equipment(V306) 0 0 0 <br /> 303 CCR 66262.34(4)(2) Failed to maintain all communication or alarm systems,spill control,or decontamination equipment(V305) ❑ 0 ❑ <br /> 304 CCR 66262.34(d)(2) Failed to maintain adequate aisle space for unobstructed response to emergencies(V308) 0 ❑ D <br /> Container Management V R COS. <br /> 401 CCR 66262.34(4)(2) Failed to store hazardo aste in a container that is in good condition(V267) ❑ 0 0 <br /> Received oul <br /> Inspector: Inspector�� �, ,r �/� <br /> By(initial): Phone: (� T <br /> EHD 22-01 REV 03/04/15 Page 1 HW SQG INSPECTION REPORT <br />