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SAN J O A Q U I N Environmental Health Department <br /> t_ I Y <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name : Facility Address : Date : <br /> Universal Waste <br /> 716 CCR 66273.40(a)(3)(4) UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification ❑ V ❑ R ❑ COS <br /> 717 CCR 66273,32(b) UWH failed to obtain an ID number from DTSC prior to accumulating >5000kg of non-RCRA UW ❑ V ❑ R ❑ COS <br /> 718 CCR 66273. 32(d) Failure of a UW handler to submit a complete annual report to DTSC ❑ V ❑ R ❑ COS <br /> 719 CCR 66273. 38 Failure of UW handler to transfer UW to the appropriate destination facility ❑ V ❑ R ❑ COS <br /> 720 CCR 66273. 31 (a) UW handler caused improper disposal of UW ❑ V ❑ R ❑ COS <br /> 721 CCR 66273.8(b) Conditionally exempt small quantity UW generator caused improper disposal of UW ❑ V ❑ R ❑ COS <br /> Appliance Recycler <br /> 801 HSC 25211 .4 Failure to obtain Certified Appliance Recycler certification (CAR) ❑ V ❑ R ❑ COS <br /> 802 HSC 25211 . 23 25211 .3 Failure of a CAR to provide docs that materials that require special handling have been removed ❑ V ❑ R ❑ COS <br /> 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑ V n R ❑ COS <br /> Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS <br /> 3020 See below Unlisted Training violation ❑ V ❑ R u COS <br /> 3030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R ❑ COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS <br /> 3050 See below Unlisted Abandonment/illegal Disposal/Unauthorized Treatment violation ❑ V ❑ R ❑ COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I , CLASS II , or MINOR - Notice to Comply) <br /> Item # Remarks <br /> Overall Inspection Comments : <br /> ,fin ! rls � i on C �kl;6f r.✓a s Provi el c� ASD w I Q2l z'c 1,c'�td <br /> CO ✓ ICk Oyn OrFrc ►`a "4 6fec � ioA� (Zedori-. <br /> A '0(tss Ck Co « � � a C - a <br /> �� � ; d � f� � � v s ►`� , , � �.�-ev�1r,� I-oU Ott �d iE 11D <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 Date : I �- y Inspector: \ .. ` ,, �. ` Inspector Phone: <br /> (�1rlc(1J ` ( 70) MI6 8 - <br /> Panted Name and Title: e ' 4� I <br /> 1 , G _ � 4 <br /> FA0002064 PR0518490 SCO03 06/12/2019 <br /> EHD 22-02 Rev. 09/27/2018 Page 4 of 4 Large Quantity Hazardous Waste Generator OIR <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />