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Environmental Health Department <br />FA0002064 PR0518490 SC003 06/12/2019 <br />EHD 22-02 Rev. 09/27/2018 Page 4 of 4 Large Quantity Hazardous Waste Generator OR <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />Large Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />Universal Waste <br />716 <br />CCR 66273.40(a)(3)(4) <br />UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification <br />a V o <br />R u <br />COS <br />717 <br />CCR 66273,32(b) <br />UWH failed to obtain an ID number from DTSC prior to accumulating >5000kg of non-RCRA UW <br />❑ V u <br />R u <br />COS <br />718 <br />CCR 66273.32(d) <br />Failure of a UW handler to submit a complete annual report to DTSC <br />u V u <br />R ❑ <br />COS <br />719 <br />CCR 66273.38 <br />Failure of UW handler to transfer UW to the appropriate destination facility <br />o V u <br />R u <br />COS <br />720 <br />CCR 66273,31(a) <br />UW handler caused improper disposal of UW <br />u V n <br />R u <br />COS <br />721 <br />CCR 66273,8(b) <br />Conditionally exempt small quantity UW generator caused improper disposal of UW <br />u V u <br />R ❑ <br />COS <br />Appliance Recycler <br />801 <br />HSC 25211,4 <br />Failure to obtain Certified Appliance Recycler certification (CAR) <br />❑ V o <br />R o <br />COS <br />802 <br />HSC 25211.23 25211.3 <br />Failure of a CAR to provide docs that materials that require special handling have been removed <br />u V u <br />R ❑ <br />COS <br />803 <br />HSC 25212 <br />Failure of a CAR to properly remove and dispose of all materials that require special handling <br />❑ V n <br />R u <br />COS <br />Other Violations <br />3010 <br />See below <br />Unlisted Administration/Documentation violation <br />❑ V u <br />R o <br />COS <br />3020 <br />See below <br />Unlisted Training violation <br />u V ❑ <br />R u <br />COS <br />3030 <br />See below <br />Unlisted Operations/Maintenance violation <br />❑ V u <br />R u <br />COS <br />3040 <br />See below <br />Unlisted Release/Leaks/Spills violation <br />n V u <br />R u <br />COS <br />3050 <br />See below <br />Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation <br />❑ V o <br />R u <br />COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />Overall Inspection Comments: <br />,fin 1 ns � i on C %�e�� �i� f r.✓a s Ppb v� c �i A/D te.) iQ21'�I e' 1,c'�td <br />CO L) I Cin orr(c is "ZA6 fec► oA� Qe?or <br />40(t 4; Ck Ck c 4-v <br />� L� d 1 u i e!` U`5 ►`^ A , t v.�-��c`(1(� 1'J �v (. ulrvt�� 1 G� �I` d r� • {-o i Ott fd YD <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS <br />FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />Received/by j <br />Date: / �- Y y <br />Printed Name and Title: <br />Inspector: \ .. ` ,, �� I <br />Inspector Phone: <br />MI6 8 - <br />FA0002064 PR0518490 SC003 06/12/2019 <br />EHD 22-02 Rev. 09/27/2018 Page 4 of 4 Large Quantity Hazardous Waste Generator OR <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjcehd.com <br />