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r:%I.FPA DEPARTMENT OF TOXIC SI <br />ANCES CONTROL <br />GRAY DAVIS, Govemor <br />SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY 0, r <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />CIl w1Fo0 RMl� <br />CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br />Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br />UNIT SHEET <br />Complete one unit sheet for each unit either listed in the notification or identified during the inspection. <br />Unit Number: Unit Name: <br />Notified Tier: Correct Tier: <br />Notified Device Count: Tanks Containers <br />Correct Device Count: Tanks Containers <br />For each Unit: <br />NO <br />_ 11. All hazardous wastes treated are generated onsite. <br />_ 12. The unit notification is accurate as to the number of tank(s) and/or container(s). <br />_ monthl treatment volume is appropriate for the indicated tier. <br />13. The estimated notification <br />_ 14. The waste identification/evaluation is appropriate for the tier indicated. <br />_ 15. The wastestream(s) given on the notification form are appropriate for the tier. <br />_ 16. The treatment process(es) given on the notification form are appropriate for the tier. <br />_ 17. The residuals management information on the form is correct and documented for the unit. <br />_ 18. The indicated basis for not needing a federal permit on the notification form is correct. <br />_ 19. There are written operating instructions and a record of the dates, volumes, residual <br />management, and types of wastes treated in the unit. <br />_ 20. There is a written inspection schedule (containers -weekly and tanks -daily). <br />_ 21. There is a written inspection log maintained of the inspections conducted. <br />22. If the unit has been closed, the generator has notified DTSC and the local agency of the closure. <br />For each CA or PBR unit: <br />ry containment for treatment in containers. <br />23. The generator has seconda <br />For each PBR unit: <br />_ 24. There is a waste analysis plan. <br />_ 25. There are waste analysis records. <br />26. There is a closur for the un , , , <br />Unit Comments/Observations: <br />a permit -HSC 25201(a). <br />(If this is a unit that was not included on the notification form, the violation is operating without <br />Pae Z of S Rev 3/5/0: <br />Onsite Checklist (B) g — <br />