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Cal -EPA DEPARTMENT OF TOXIC SU ANCES CONTROL GRAY DAVIS, Governor <br />SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. WEBER AVENUE <br />STOCKTON, CA 95202 <br />C�:IiOiM' <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: C CC L Correct Tier: CEC L <br />Notified Device Count: Tank Containers <br />Correct Device Count: Tanks q4 i —Containers <br />For each Unit: <br />NO <br />_ 11. All hazardous wastes treated are generated onsite. <br />_ 12.E The unit notification is accurate as to the number of tank(s) and/or container(s). <br />_ 13. The estimated notification monthly treatment volume is appropriate for the indicated tier. <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 />�d 19� There are written operating instructions and a record of the dates, volumes, residual Z <br />management, and types of wastes treated in the unit. <br />�a ���`N� <br />20.x. There is a written inspection schedule (containers -weekly and tanks -daily). <br />21. Y 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 eac BR unit: <br />23. The ge fo�has econdary containment for treatment in containers. <br />For e R unit: <br />_ 24, is a waste analysis plan. <br />_ 25. There a aste analysis records. <br />26. There is a clos Ian for the unit. <br />U Observations: (If this is a unit that was not included on the notification form, the violation is operating without <br />a permit -HSC 25201 a . <br />Page _ of — Rev 3/5/0 <br />Onsite Checklist (B) g <br />