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Xppu1N <br /> *50 <br /> °z SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> C` P <br /> \Z041L 0 +?�' Grcritncss grows here . <br /> LARGE QUANTITY HAZARDOUS WASTE GENERATOR PROGRAM INSPECTION REPORT <br /> Facility /� T / ) ,, Facility Inspection ` / <br /> Name: a + I ' 5 LVA p.� � /� /� Phone: Date: 7( � 1 <br /> Facility T \ Y v • Mal rkCIM CA ID: <br /> CERS <br /> Address: ID: <br /> Inspection i Title: Phone: <br /> Contact: V � ��eVam ( vau „ r <br /> Inspection P L n Program : <br /> Type: P-O an " 01 <br /> Consent Given For: Consent <br /> Inspection CPhotos ❑ Sampling Given By: <br /> Amount of Last <br /> Waste Gene)ted � �s I L N EPA ID: O r 02AI q <br /> In the Last Calendar Year (Jan-Dec): "� 1 ' V <br /> CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <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 HSC 25244. 19 , Failed to adequately complete a Source Reduction plan and have it available for review (V257) ❑ ❑ ❑ <br /> 25244.21 <br /> 105 CCR 67100. 71 Failed to conduct a Source Reduction review and plan every four years , when required (V254) El ❑ <br /> 67100. 8 <br /> 106 CCR 67100. 9 Failed to prepare and submit a Summary Progress Report every four years (V255) ❑ ❑ ❑ <br /> 107 CCR 66265. 51 Failed to prepare and implement a contingency plan (V237) ❑ ❑ ❑ <br /> 108 CCR 66265. 52 Contingency plan is incomplete (V240) ❑ ❑ ❑ <br /> 109 CCR 66265. 53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies (V238) ❑ ❑ ❑ <br /> 110 CCR 66265 . 54 Contingency plan not current (V824) ❑ ❑ ❑ <br /> 111 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste (V243) ❑ ❑ ❑ <br /> 112 CCR 66262. 23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter (V239) ❑ ❑ ❑ <br /> 113 CCR 66262. 23(a) (4) Failed to send generator manifest copies to DTSC within 30 days (V246) ❑ ❑ <br /> 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years (V241 ) ❑ ❑ ❑ <br /> 115 CCR 66262 .42(ab d Failed to comply with uniform hazardous waste manifest exception requirements (V880) 11 ❑ <br /> 116 CCR 66268. 7(a) Failed to make determination for land disposal (V252) ❑ ❑ ❑ <br /> 117 CCR 66265. 16(a-c) Failed to complete training on hazardous waste management and emergency response procedures (V245) ❑ ❑ ❑ <br /> 118 CCR 66265. 16(d) Failed to maintain complete personnel training records (V830) ❑ ❑ ❑ <br /> 119 HSC 25160. 2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years (V248) ❑ ❑ ❑ <br /> 120 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information (V841 ) ❑ ❑ ❑ <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 (V250) ❑ ❑ ❑ <br /> 122 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption (V253) ❑ ❑ ❑ <br /> 123 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report (V799) ❑ ❑ ❑ <br /> 124 HSC 25110, 10(d) Failed to annually submit notification of generator intent to remotely consolidate hazardous waste (V881 ) ❑ ❑ ❑ <br /> 125 HSC 25404(e) (4) Failed to report program data electronically (V919) ❑ ❑ ❑ <br /> 126 CCR 66265 . 55, Failure to have an emergency coordinator available to respond to an emergency (V925) ❑ ❑ ❑ <br /> 66262 . 34(a)(4) <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 /> Received Inspector: Inspector <br /> By (initial): ( � nvl l(� �+ _( (� ( �LI v Phone: <br /> EHD 22-02 REV 11 /15/2017 (�P(a�ge 1 HW LQG INSPECTION REPORT <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 20946&34201 F 209464-0138 1 www . sjcehd . com <br />