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S A N J O A Q U I N Environmental Health Department <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: V) D QS Facility Phone : Date: I I � <br /> Facility Address : 1CERS ID : <br /> b S r LP1 - Lo � Q� <br /> Inspection Contact: WA" Title: n� � � Phone : <br /> Inspection Type: W • ,M„ Program : � ^ <br /> Consent For: Consent Given By : <br /> Ins ection khotos Sam les I, �l J��1'�•/ , <br /> Amount t calenhazardar waste eec): d D EP_ AlStat <br /> in the last calendar ear Jan-Dec : /H�Ai-Ifithl w <br /> CCR = Title 22 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection <br /> Record Keeping/Documentation <br /> 101 CCR 66262. 12 Managed a hazardous waste without an identification number ❑ V ❑ R ❑ COS <br /> 102 CCR 66262. 11 Failed to determine if a waste is a hazardous waste ❑ V ❑ R ❑ COS <br /> 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years ❑ V ❑ R ❑ COS <br /> 104 HSC 25244. 19, Failed to adequately complete a Source Reduction plan and have it available for review ❑ V ❑ R ❑ COS <br /> 25244.21 <br /> 105 CCR 67100.71 67100.8 Failed to conduct a Source Reduction review and plan every four years, when required ❑ V ❑ R ❑ COS <br /> 106 CCR 67100. 9 Failed to prepare and submit a Summary Progress Report every four years ❑ V ❑ R ❑ COS <br /> 107 CCR 66265.51 Failed to prepare and implement a contingency plan ❑ V ❑ R ❑ COS <br /> 108 CCR 66265. 52 Contingency plan is incomplete V ❑ R ❑ COS <br /> 109 CCR 66265.53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies ❑ V ❑ R ❑ COS <br /> 110 CCR 66265.54 Contingency plan not current ❑ V ❑ R ❑ COS <br /> 111 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste ❑ V ❑ R ❑ COS <br /> 112 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter ❑ V ❑ R ❑ COS <br /> 113 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days ❑ R ❑ COS <br /> 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years )(V ❑ R ❑ COS <br /> 115 CCR 66262.42(a)(b)(d) Failed to comply with uniform hazardous waste manifest exception requirements XV o R o COS <br /> 116 CCR 66268.7(a) Failed to make determination for land disposal ❑ V ❑ R ❑ COS <br /> 117 CCR 66265. 16(a-c) Failed to complete training on hazardous waste management and emergency response procedures AV ❑ R ❑ COS <br /> 118 CCR 66265. 16(d) Failed to maintain complete personnel training records �/ ❑ R ❑ COS <br /> 119 HSC 25160.2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years xV ❑ R ❑ COS <br /> 120 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information ❑ V ❑ R ❑ COS <br /> 121 CCR 66266.81 (a)(4)(B) Failed- to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years XV ❑ R ❑ COS <br /> 122 HSC 25143. 10 Failed to provide information for >100 kg/mo recyclable material to claim the exclusion or exemption ❑ V ❑ R ❑ COS <br /> 123 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R o COS <br /> 124 HSC 25110A 0(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste ❑ V ❑ R ❑ COS <br /> 125 HSC 25404(e)(4) Failed to report program data in the California Environmental Reporting System (CERS) ❑ V ❑ R ❑ COS <br /> 126 CCR 66262. 34(a)(4)3 Failure to have an emergency coordinator available to respond to an emergency ❑ V ❑ R ❑ COS <br /> 66265.55 <br /> FA0002064 PRO518490 SCO03 06/12/2019 <br /> EHD 22-02 Rev, 09/27/2018 Page 1 of 4 Large Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />