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SAN JOAQUIN p <br /> Ijr� � ur�® nmental Health Department <br /> COUNTY <br /> !:NI Greatness grows here , <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility Jnhyl <br /> i /] } /) /� Facility Ins pe: t�ior,� <br /> Name: ` (/(, 1 (� Phone: Date: u C <br /> Facility /I (}y , CE (� <br /> Address: ( � VFAi <br /> ID: () <br /> Inspection �j IAf T �` �� ✓1�'I Phone: <br /> Contact: I I w / t(,'« �(q <br /> Inspection eh Program: <br /> Type: PZU/ <br /> Consent Given For: Consentcog tt i ( / �/� <br /> Inspection Photos Sampling Given By: 1 1 U �' / <br /> Amount of Hazardous Waste Generated CDAI <br /> In the Last Calendar Year (Jan-Dec): ' <br /> CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal RegulgKris <br /> V = Violation R = Repeat COS = Corrected on site during inspection <br /> Record Keeping/Documentation V R COS <br /> 101 CCR 66262 . 12 Managed a hazardous waste without a valid EPA ID number (V236) ❑ ❑ ❑ <br /> 102 CCR 66262. 11 Failed to determine if a waste is a hazardous waste (V251 ) ❑ ❑ ❑ <br /> 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years (V879) ❑ ❑ <br /> 104 CCR 66262. 34(d)(2) No modified contingency plan (V299) ❑ 1 ❑ 1 ❑ <br /> 105 CCR 66262 . 34(d)(2) No emergency coordinator (V311 ) ❑ ❑ ❑ <br /> 106 CCR 66262. 34(d) (2) Failed to train employees on waste handling and emergency procedures (V242) ❑ ❑ ❑ <br /> 107 CCR 66262. 20 Failed to prepare manifests for transportation of hazardous waste (V243) ❑ ❑ ❑ <br /> 108 CCR 66262 .23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter (V239) ❑ ❑ ❑ <br /> 109 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days (V246) ❑ ❑ ❑ <br /> 110 CCR 66262. 40(a) Failed to keep signed copy of manifests from the designated facility for three years (V241 ) ❑ ❑ ❑ <br /> 111 CCR 66262 .42 (ac d Failed to comply with uniform hazardous waste manifest exception requirements (V244) ❑ ❑ 11 <br /> 112 CCR 66268. 7(a) Failed to make determination for land disposal (V252) ❑ ❑ ❑ <br /> 113 HSC 25160.2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years (V248) ❑ ❑ ❑ <br /> 114 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information (V841 ) ❑ ❑ ❑ <br /> 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 (V250) ❑ ❑ ❑ <br /> 116 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption (V253) ❑ ❑ ❑ <br /> 117 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report (V799) ❑ ❑ ❑ <br /> 118 HSC 25110, 1 Old) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste (V898) ❑ ❑ ❑ <br /> 119 HSC 25404(e) (4) Failed to report program data electronically (V919) ❑ ❑ ❑ <br /> Treatment, Transport, and Disposal V R COS <br /> 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration (V297) ❑ ❑ ❑ <br /> 202 HSC 25189. 5(a) Disposed or caused disposal of HW at an unauthorized point (V298) ❑ ❑ ❑ <br /> 203 HSC 25189. 5(c) Transported or caused transportation of hazardous waste to an unauthorized point (V786) ❑ ❑ ❑ <br /> 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste (V760) ❑ ❑ ❑ <br /> 205 HSC 25250. 7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste (V278) ❑ ❑ ❑ <br /> 206 HSC 25160.2(c) (2) Waste stream or generator not eligible to use consolidated manifesting procedure (V842) ❑ ❑ ❑ <br /> 207 HSC 25144.6(b) Failure to properly manage reusable soiled textile materials (V882) ❑ ❑ ❑ <br /> 208 HSC 25200 .3. 1 (c) Failure of laboratory to comply with hazardous waste treatment requirements (V920) ❑ ❑ ❑ <br /> 209 CCR 66262 . 34(d)(2) Failure to remove all hazardous waste from tanks , containers and containment upon facility closure (V921 ) ❑ ❑ ❑ <br /> Received Ins ector: Inspector <br /> By (initial): I W p , Phone: <br /> EHD 22-01 REV 11 /02/17 j Page 1 HW SQG INSPECTION REPORT <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 20946&34201 F 209464-0138 1 www . sjcehd . com <br />