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Cal -EPA DEPARTMENT OF TOXIC SUB"'-4NCES CONTROL <br />SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E MAIN ST. <br />STOCKTON, CA 95202-3029 <br />Edmund G. Brown, Jr., Governor <br />CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br />Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br />FACILITY NAME: C A l Arj (C., u nf� ToJ C - <br />PHYSICAL ADDRESS: 3( 0 <br />FACILITY CONTACT -NAME: <br />SIC CODE(S): <br />EPA ID NUMBER: CA <br />INSPECTION DATE: <br />NOTIFIED UNIT COUNT: <br />PBR <br />CA I <br />CESW <br />CESQT <br />CEL <br />TOTAL <br />CORRECT UNIT COUNT: <br />PBR <br />CA I <br />CESW <br />CESQT <br />CEL <br />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 full <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 notifiers: <br />10. The generator has an annual waste minimization certification. (PBR submit with renewals.) <br />Onsite Checklist (A) Page 1 of 3 <br />