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Cal EPA DEPARTMENT OF TOXIC SUh`/ANCES CONTROL GRAY DAVIS,Govemor <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE <br /> STOCKTON, CA 95202 <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: ( C <br /> Notified Tier: C A Correct Tier: C <br /> Notified Device Count: Tanks Containers % <br /> Correct Device Count: Tanks Containers 1 <br /> For each Unit: <br /> NO <br /> _ 11. All hazardous wastes treated are generated onsite. <br /> _ 12. 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 /> _ 19. There are written operating instructions and a record of the dates, volumes,residual <br /> management, and types of wastes treated in the unit. <br /> _ 20. There is a written inspection schedule(containers-weekly and tanks-daily). <br /> 21. 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 each CA or PBR unit: <br /> 23. The generator has secondary containment for treatment in containers. <br /> For each PBR unit: <br /> _ 24. There is a waste analysis plan. <br /> _ 25. There are waste analysis records. <br /> 26. There is a closure plan for the unit. <br /> Unit Comments/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 /> ofRev 3/5/02 <br /> Onsite Checklist (B) Page l � <br />