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_ECEIVED <br /> APD <br /> San Joaquin County <br /> Environmental Health Department "v.. <br /> ^ '"DENTAL <br /> 1868 East Hazelton Avenue, Stockton,California 95� -IPM) <br /> wwR )=PA.RTNlENT <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:w .sfiaov_orolehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Phone: Date: <br /> CHEVRON STATION(x94275' (209)478-5555 <br /> Facility Address: > ebruary 14,2018 <br /> '— <br /> 2905 W BENJAMIN HOLT DR, STOCKTON,CA 95207 CERS to: <br /> Inspection Contact Title: Phone: 10181335 <br /> Charles Bittle Environmental Contact (925)842-9002 <br /> Inspection Type: Program: <br /> ROUTINE INSPECTION-Operating Permit 2220-SM HW GEN<5 TONS/YR <br /> Consent For. Consent Given By: <br /> X Inspection ®Photos f>Samples Kenisha Jenkins, Store Manager <br /> Amount of hazardous waste generated EPAIStat <br /> In the last calendar year(Jan-Dec): 2 10 tons ID: <br /> CAR00a ID:01 3 <br /> CCR=Ca!rfomia Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regdatans <br /> V=Violation R=Repeal violation COs-CorrtH7ed on site dunng inspection <br /> Rscorli KNpi <br /> 101 CCR 66262 12 Managed a hazardous waste without an identification number o V a R r COS <br /> 102 CCR 66262 11 Failed to determine if a waste is a hazardous waste o V o R a COS <br /> 103 CCR 66262 40(c) Faded to retain hazardous waste determination including waste analysts on site for 3 years o V o R o COS <br /> 104 CCR 66262.34(d)(2) No modified contingency plan ❑V o R o COS <br /> 105 CCR 66262.34(d)(2) No emergency coordinator a V o R in COS <br /> 106 CCR 86262.34(d)(2) Failed to train employees on waste handling and emergency procedures o V a R o COS <br /> 107 CCR 88262.20 Failed to prepare manifests for transportation of hazardous waste o V a R in COS <br /> 108 CCR 66262-23(a) Failed to complete.sign or date manifest,or obtain dated signature of transporter o V a R o COS <br /> 109 CCR 66262 23(x)(4) Failed to send generator manifest copies to DTSC within 30 days n V o R o COS <br /> 110 CCR 66262 40(a) Failed to keep signed copy of manifests from the designated facility for three years a V o R o COS <br /> 111 CCR 66262 42(a)(c)(d) Faded to comply with uniform hazardous waste manifest exception requirements a V a R o COS <br /> 112 CCR 86268 7(a) Failed to make determination for land disposal o V a R o COS <br /> 113 HSC 25160 2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years o V o R o COS <br /> 114 HSC 25160 2(b)(4) Consolidated manifest receipts faded to contain complete information c V a R o COS <br /> 115 CCR 66266 81(a)(4)(B) Failed to retain copy of manifest or bili of lading for spent lead add batteries for 3 years o V o R ❑COS <br /> 116 HSC 25143 10 Failed to provide information for>100 kg/mo recyclable material to claim the exclusion or exemption o V a R o COS <br /> 117 HSC 25185(c)(3) Failed to subnut a written response within 30 days of receiving an inspection report o V o R o COS <br /> 118 HSC 25110 10(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste o V o R o COS <br /> 119 HSC 25404(e)(4) Failed to report program data electronically --- o V OR o COS <br /> Treatment,Transport and Disposal <br /> 201 HSC 25163(x) Transported or transferred hazardous waste to a transporter without valid registration o V o R o COS <br /> 202 HSC 25189.5(a) Disposed or caused disposal of HW at an unauthorized point o V a R o COS <br /> 203 HSC 25189.5(c) Transported or caused transportation of hazardous waste to an unauthorized point 0 V a R o COS <br /> 204 HSC 25201(a) Failed to obtain a permit to treat hazardous waste o V c R o COS <br /> 205 HSC 25250.7 Failed to manage used oil oontaminated with other hazardous waste as hazardous waste o V o R a COS <br /> 206 HSC 25160 2(c)(2) Waste stream or generator not eligible to use consolidated manifesting procedure o V OR c COS <br /> 207 HSC 25144.8(b) Failure to property manage reusable soiled textile materials o V o R o COS <br /> 208 HSC 25200 3.1(c) Failure of laboratory to comply with hazardous waste treatment requirements 0 V 0 R a COS <br /> FA0003712 PRO5175W SC001 02/141201E <br /> EHD 22-01 Rev DMM16 Page 1 of 4 Small Ouarxity Hazardous Waste Generator CIR <br />