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SAN J 0 A n U ( N Environmental Health Department - C O U N ,, , I _31 r• rtf ! ._ . . Small Quantity Hazardous Waste Generator Inspection Report Facility Name : Facility Phone : Date : L A RL j2 q it Z.0 — Z op J .Anf� Facility Address : it CERS ID : '7 ?, (3 L - l. n • � � C — Inspection Contact: Title: TThone : '1rJ ,n e L y) 3 Z. - C4 ';'4" Inspection Type : Program : jf Consent For: Consent Given By : F Ins ection M totos ❑ Samples y 1 uv , c �J I ?P r n 1 Amount of hazardous waste generated EPA/State ID :: in the last calendar year (Jan -Dec) : CA " OOv "mi 5 ) 4& Z 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 ❑ R ❑ COS 103 CCR 56262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years ❑ V ❑ R ❑ COS 104 CCR 66262.34(d) (2) No modified contingency plan ❑ V ❑ R 40elos 105 CCR 66262.34(d) (2) No emergency coordinator ❑ V ❑ R a6os 106 CCR 66262. 34 (d) (2) Failed to train employees on waste handling and emergency procedures ❑ V ❑ R ❑ COS 107 CCR 66262 . 20 Failed to prepare manifests for transportation of hazardous waste ❑ V ❑ R ❑ COS 108 CCR 66262 . 23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter ❑ V ❑ R ❑ COS 109 CCR 66262. 23 (a)(4) Failed to send generator manifest copies to DTSC within 30 days ❑ V ❑ R ❑ COS 110 CCR 66262.40 (a) Failed to keep signed copy of manifests from the designated facility for three years ❑ V ❑ R ❑ COS 111 CCR 66262.42(a)(c)(d) Failed to comply with uniform hazardous waste manifest exception requirements ❑ V ❑ R ❑ COS 112 CCR 66268. 7(a) Failed to make determination for land disposal ❑ V ❑ R ❑ COS 113 HSC 25160. 2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years ❑ V ❑ R ❑ COS 114 HSC 25160. 2(b)(4) Consolidated manifest receipts failed to contain complete information ❑ V ❑ R ❑ COS 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 116 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption ❑ V ❑ R ❑ COS 117 HSC 25185(c) (3) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS 118 HSC 25110, 10 (d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste ❑ V ❑ R ❑ COS 119 HSC 25404(e) (4) Failed to report program data in the California Environmental Reporting System (CERS) kry o R ❑ COS 120 HSC 25404. 1 . 2 Failed to submit a certification and written response within 30 days for minor violations ❑ V ❑ R ❑ COS Treatment, Transport and Disposal 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration ❑ V ❑ R ❑ COS 202 HSC 25189. 5(a) Disposed or caused disposal of HW at an unauthorized point ❑ V ❑ R ❑ COS 203 HSC 25189. 5(c) Transported or caused transportation of hazardous waste to an unauthorized point ❑ V ❑ R ❑ COS 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste ❑ V ❑ R ❑ COS 205 HSC 25250. 7 Failed to prevent intentional contamination of used oil with other hazardous waste ❑ V ❑ R ❑ COS 206 HSC 25160. 2(c) (2) Waste stream or generator not eligible to use consolidated manifesting procedure ❑ V ❑ R ❑ COS 11113/2019 EHD 22-01 Rev. 9/20/2019 Page 1 of 4 Small 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