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Cal -EPA DEPARTMENT OF TOXIC SUBSTANCES CONTROL PETE WILSON, Governor <br />SAN JOAQUIN COUNTY PUBLIC :ALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E. WEBER AVENUE, 3RD FLOOR / P.O. BOX 388 <br />STOCKTON, CA 95201-0388 �• <br />CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br />Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br />FACILITY NAME: Ca.ltL% EPA ID NUMBER: CAD cac�}­-�4((4,0(,o <br />PHYSICAL ADDRESS: 3 Q5 S 1�or`r� d d <br />FACILITY CONTACT -NAME: '�a� Q flop PHONE: o5 �( - 3SS�F <br />SIC CODE(S): INSPECTION DA E:�?- 'S 13 9 -R- Local 4 <br />4 1 <br />NOTIFIED UNIT COUNT: PBR CA- E CESW CESQT TOTAL <br />CORRECT UNIT COUNT: PBR CA CESW CESQT 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 <br />covers generator requirements, although a separate checklist may be used for those requirements. A checkmark indicates <br />violation of the law, which are explained in more detail on the attached note sheets. The governing laws are the Health and <br />Safety Code (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 June 5, 1995 <br />