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Cal -EPA DEPARTMENT OF TOXIC SUJpNCES CONTROL Edmund G. Brown, Jr., Governor SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY ° jN ENVIRONMENTAL HEALTH DEPARTMENT 600 E MAIN ST. 01 STOCKTON, CA 95202-3029 CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers UNIT SHEET Complete one unit sheet for each unit either listed in the notification or identified during the inspection. Unit Number: N 14 Unit Name: y ( A Notified Tier: C L C. L Correct Tier: EG L„ Notified Device Count: Tanks 3 Containers Correct Device Count: Tanks _Containers For each Unit: NO _ 11. All hazardous wastes treated are generated onsite. _ 12. The unit notification is accurate as to the number of tank(s) and/or container(s). _ 13. The estimated notification monthly treatment volume is appropriate for the indicated tier. _ 14. The waste identification/evaluation is appropriate for the tier indicated. _ 15. The wastestream(s) given on the notification form are appropriate for the tier. _ 16. The treatment process(es) given on the notification form are appropriate for the tier. _ 17. The residuals management information on the form is correct and documented for the unit. _ 18. The indicated basis for not needing a federal permit on the notification form is correct. _ 19. There are written operating instructions and a record of the dates, volumes, residual management, and types of wastes treated in the unit. i� 20. There is a written inspection schedule (containers -weekly and tanks -daily). _ 21. There is a written inspection log maintained of the inspections conducted. _ 22. If the unit has been closed, the generator has notified DTSC and the local agency of the closure. For each CA or PBR unit: 23. The generator has secondary containment for treatment in containers. For each PBR unit: _ 24. There is a waste analysis plan. _ 25. There are waste analysis records. 26. There is a closure plan for the unit. Unit Comments/Observations: (If this is a unit that was not included on the notification form, the violation is operating without a permit -HSC 25201(a). Onsite Checklist (B) Page Z of b-