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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 I 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 />UNIT SHEET <br />Complete one unit sheet for each unit either listed in the notification or identified during the inspection. <br />Unit Number: ' <br />Notified Tier: CA <br />Unit Name: +Wc.s-Fc.wa-kv tics, c. <br />Correct Tier: C,A <br />Notified Device Count: Tanks <br />Correct Device Count: Tanks <br />Containers <br />Containers <br />For each Unit: <br />NO <br />_ 11. All hazardous wastes treated are generated onsite. <br />_ 12. The unit notification is accurate as to the number of tank(s) and/or container(s). <br />_ 13. The estimated notification monthly treatment volume is appropriate for the indicated tier. <br />_ 14. The waste identification/evaluation is appropriate for the tier indicated. <br />_ 15. The wastestream(s) given on the notification form are appropriate for the tier. <br />16. The treatment process(es) given on the notification form are appropriate for the tier. <br />_ 17. The residuals management information on the form is correct and documented for the unit. <br />_ 18. The indicated basis for not needing a federal permit on the notification form is correct. <br />_ 19. There are written operating instructions and a record of the dates, volumes, residual <br />management, and types of wastes treated in the unit. <br />_ 20. There is a written inspection schedule (containers -weekly and tanks -daily). <br />_ 21. There is a written inspection log maintained of the inspections conducted. <br />22. If the unit has been closed, the generator has notified DTSC and the local agency of the <br />closure. <br />For each CA or PBR unit: <br />23. The generator has secondary containment for treatment in containers. <br />For each PBR unit: <br />24. There is a waste analysis plan. <br />_ 25. There are waste analysis records. <br />26. There is a closure plan for the unit. <br />Unit Comments/Observations: (If this is a unit that was not included on the notification form, the violation is operating <br />without a permit -HSC 25201(a). <br />Onsite Checklist (B) Page Z of 3 June 5, 1995 <br />