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Cal -EPA DEPARTMENT OF TOXIC SU LANCES CONTROL a/ GREY DAVIS, Governor <br />SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY` J`' ' _•. <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. WEBER AVENUE, 3RD FLOOR �8 <br />STOCKTON, CA 95202 <br />CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br />Permit by Rule, Conditionally Authorized, and Conditionally Exempt NAotifiers <br />FACILITY NAME: A d I) ail ed Zfl p}�� M � EPA ID NUMBER: pet q oiy <br />PHYSICAL ADDRESS: 5S t Ghz,pGo �� <br />FACILITY CONTACT -NAME: C PHONE: <br />SIC CODE(S): INSPECTION DATE: _/a--7– 06 Local # <br />NOTIFIED UNIT COUNT: PBR CA _ CESW _ CESQT CEL_ TOTAL <br />CORRECT UNIT COUNT: PBR CA _ CESW CESQT _ CEL_ TOTAL — <br />This checklist and inspection report identify violations of state law regarding onsite treaters of hazardous waste, <br />operating under an onsite permitting tier. This inspection verifies the information provided on form DTSC 1772. It also covers <br />generator requirements, although a separate checklist may be used for those requirements. A checkmark indicates violation of <br />the law, which are explained in more detail on the attached note sheets. The governing laws are the Health and Safety Code <br />(HSC) and Title 22 of the California Code of Regulations (22 CCR). <br />Generator Standards: <br />Each inspection agency may use their own generator inspection checklist or protocols, which are summarized below. A filll <br />evaluation of each item or document is not conducted during the Verification Inspection, unless serious deficiencies are suspected. <br />NO <br />1. Contingency plan has been prepared (adequately minimize releases, has alarm/communication <br />system, lists emergency equipment and phone numbers for emergency coordinators). <br />_ 2. Written training documents and records prepared for employees handling hazardous waste. <br />_ 3. Meet container management standards (storage time limits, closed, labelled, compatibility, <br />inspected weekly, in good condition, with ignitables/reactives 50 feet from property line). <br />_ 4. Meet tank management standards (either secondary containment or integrity assessments, plus <br />storage time limits, labelled, compatibility, inspected daily, in good condition, with <br />ignitables/reactives 50 feet from property line). <br />5. All wastes are properly identified. <br />Treatment Items -Facility Wide: (Facility must submit a revised Form 1772 to correct errors or omissions.) <br />_ 6. All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new <br />units with unit sheets or correct tier on the unit sheet.) <br />7. All generator identification information on Form DTSC 1772 is correct. <br />8. The submitted plot plan/map adequately shows the location of all regulated units. <br />_ 9. There are records documenting compliance with sewer agency pretreatment standards and <br />industrial waste discharge requirements, where applicable. <br />For CA or PBR notiFers: <br />10. The generator has an annual waste minimization certification. (PBR submit with renewals.) <br />06tP tA) pgae I of L_{" Fehnlnry 10. 1999 <br />