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Environmental Health Department SAN 1 A (J I N - y��sAl ( s � ; �i ". r: i' - , C7IUlot . 1) ere . Large Quantity Hazardous Waste Generator Inspection Report Facility Name : c ') Phone : Da e : RIF Facility Address: � CITI Nu 16 In ectjo C ntact: U Ph ins'bhetion pe: Program: GOD: Consent For: Consent Given By: Ins ection hotos dkSarrigles Amount of haza ous waste g nerated LOW P /S to In the last calendar year (Jan-Dec): CCR = Title 22 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Record Keeping/Documentation 101 CCR 66262. 12 Managed a hazardous waste without an identification number ❑ V ❑ R ❑ COS 102 CCR 66262. 11 Failed to determine if a waste is a hazardous waste e4V ❑ R ❑ COS 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years ❑ V ❑ R ❑ COS I 104 HSC 25244. 199 Failed to adequately complete a Source Reduction plan and have it available for review ❑ V ❑ R ❑ COS 25244.21 105 CCR 67100.7, 67100.8 Failed to conduct a Source Reduction review and plan every four years, when required ❑ V ❑ R ❑ COS 106 CCR 67100.9 Failed to prepare and submit a Summary Progress Report every four years ❑ V ❑ R ❑ COS 107 CCR 66265.51 Failed to prepare and implement a contingency plan ❑ V ❑ R ❑ COS i 108 CCR 66265.52 Contingency plan is incomplete ❑ V ❑ R ❑ COS 109 CCR 66265. 53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies ❑ V ❑ R ❑ COS 110 CCR 66265. 54 Contingency plan not current ❑ V ❑ R ❑ COS 111 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste ❑ V ❑ R ❑ COS 112 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter ❑ V ❑ R ❑ COS 113 CCR 66262.23(a) (4) Failed to send generator manifest copies to DTSC within 30 days ❑ V ❑ R ❑ COS 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years ❑ V ❑ R ❑ COS 115 CCR 66262.42(a)(b)(d) Failed to comply with uniform hazardous waste manifest exception requirements ❑ V ❑ R ❑ COS 116 CCR 66268.7(a) Failed to make determination for land disposal ❑ V ❑ R ❑ COS 117 CCR 66265. 16(a-c) Failed to complete training on hazardous waste management and emergency response procedures ❑ V ❑ R ❑ COS 118 CCR 66265A6(d) Failed to maintain complete personnel training records ❑ V ❑ R ❑ COS 119 HSC 25160.2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years ❑ V ❑ R ❑ COS 120 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information ❑ V ❑ R ❑ COS 121 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 122 HSC 25143. 10 Failed to provide information for >100 kg/mo recyclable material to claim the exclusion or exemption ❑ V ❑ R ❑ COS 123 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 124 HSC 25110A 0(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste ❑ V ❑ R ❑ COS 125 HSC 25404(e)(4) Failed to report program data in the California Environmental Reporting System (CERS) ❑ V ❑ R o COS 126 CCR 66262.34(a)(4), Failure to have an emergency coordinator available to respond to an emergency ❑ V ❑ R ❑ COS 66265.55 FA0002064 PR0518490 SCO03 06/12/2019 EHD 22-02 Rev. 09/27/2018 Page 1 of 4 Large Quantity Hazardous Waste Generator OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464 -0138 1 www. sjcehd . com