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SAN J O A Q U I N Environmental Health Department <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facili ame: Facility Phone: Date: <br /> r r <br /> / V , <br /> 5 Zy <br /> Faci Address : CERS ID: <br /> 17tion Contact:rML) Titl Phone: <br /> ✓%� � "ems c CJ <br /> Inspection Typ : Program: <br /> )22 `� 2 oopO <br /> Consent For: Consent Given By: 11 <br /> ns ection Photos ❑ Sam les Y'evL r,> <br /> Amount of hazardous waste generated EPA/State ID : <br /> in the last calendar year (Jan -Dec) : <br /> CCR = Title 22 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection <br /> Record Keeping/Documentation <br /> 101 CCR 66262. 12 Managed a hazardous waste without an identification number o R ❑ COS <br /> 102 CCR 66262 . 11 Failed to determine if a waste is a hazardous waste o R o COS <br /> 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years ❑ V ❑ R ❑ COS <br /> 104 CCR 66262. 34 (d) (2) No modified contingency plan ❑ V ❑ R UOS <br /> 105 CCR 66262.34(d) (2) No emergency coordinator o V c R YOS <br /> 106 CCR 66262. 34(d)(2) Failed to train employees on waste handling and emergency procedures ❑ V ❑ R o COS <br /> 107 CCR 66262 . 20 Failed to prepare manifests for transportation of hazardous waste ❑ V ❑ R o COS <br /> 108 CCR 66262 . 23 (a) Failed to complete, sign or date manifest; or obtain dated signature of transporter o V o R ❑ COS <br /> 109 CCR 66262.23(a) (4) Failed to send generator manifest copies to DTSC within 30 days o 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 o R ❑ COS <br /> 111 CCR 66262 .42(a)(c) (d) Failed to comply with uniform hazardous waste manifest exception requirements D V ❑ R ❑ COS <br /> 112 CCR 66268 .7 (a) Failed to make determination for land disposal o V o R o COS <br /> 113 HSC 25160 . 2(b) (3) Failed to keep copies of consolidated manifesting receipts for three years ❑ V ❑ R o COS <br /> 114 HSC 25160.2(b) (4) Consolidated manifest receipts failed to contain complete information o V ❑ R o COS <br /> 115 CCR 66266 . 81 (a)(4) (B) Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years ❑ V ❑ 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 o R o COS <br /> 117 HSC 25185 (c)(3) Failed to submit a written response within 30 days of receiving an inspection report ❑ V o R ❑ 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 in the California Environmental Reporting System (CERS) ESV ❑ R ❑ COS <br /> 120 HSC 25404 . 1 . 2 Failed to submit a certification and written response within 30 days for minor violations ❑ V ❑ R ❑ COS <br /> Treatment, Transport and Disposal <br /> 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration ❑ V ❑ R ❑ COS <br /> 202 HSC 25189 . 5(a) Disposed or caused disposal of HW at an unauthorized point ❑ V ❑ R ❑ COS <br /> 203 HSC 25189. 5(c) Transported or caused transportation of hazardous waste to an unauthorized point ❑ V o R o COS <br /> 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste ll� ❑ R ❑ COS <br /> 205 HSC 25250 . 7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste ❑ V o R ❑ COS <br /> 206 HSC 25160. 2(c) (2) Waste stream or generator not eligible to use consolidated manifesting procedure ❑ V o R ❑ COS <br /> FA0002064 PR0518490 SCO03 06/12/2019 <br /> EHD 22-01 Rev. 09/27/2018 Page 1 of 4 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />