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S A N J O A Q U I N Environmental Health Department I 19r Small Quantity Hazardous Waste Generator Inspection Report Facility Name: \ 00� Facility Phone: Date : Facility Address : � z � S � ` �(1 �C !� � CERSID : Inspection Contact: // I Title: C Phone: `v Inspection Type : !` Program : /� airs ✓�t s /`z G;� S �i k�1 L 2 Consent For: Consent Given By: ❑ Inspection ❑ Photos ❑ Samples If Amount of hazardous waste generated !V/ EPA/State Do in the last calendar year (Jan-Dec) : CCR = Title 22 California Code of Regulations HSC = Health and Safety Cade CFR = Code of Federal Regulations V = Violation R = Repeat violation COS = Corrected on site during inspection Record Keeping/Documentation 101 CCR 66262. 12 Managed a hazardous waste without an identification number il� f o R o COS 102 CCR 66262 . 11 Failed to determine if a waste is a hazardous waste n V n R n COS 103 CCR 66262 .40 (c) Failed to retain hazardous waste determination including waste analysis on site for 3 years o V c R o COS 104 CCR 66262 . 34 (d)(2) No modified contingency plan DX c R o COS 105 CCR 66262. 34(d) (2) No emergency coordinator ❑ R ❑ COS 106 CCR 66262. 34(d)(2) Failed to train employees on waste handling and emergency procedures o V o R o COS 107 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste o V o R o COS 108 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter n V n R n COS 109 CCR 66262.23(a) (4) Failed to send generator manifest copies to DTSC within 30 days o V o R o COS 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years o V o R o COS 111 CCR 66262.42(a) (c) (d) Failed to comply with uniform hazardous waste manifest exception requirements n V n R n COS 112 CCR 66268 .7(a) Failed to make determination for land disposal o V o R o COS 113 HSC 25160. 2(b) (3) Failed to keep copies of consolidated manifesting receipts for three years o V n R n COS 114 HSC 25160 . 2(b) (4) Consolidated manifest receipts failed to contain complete information o V n R a COS 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 o V o R o COS 116 HSC 25143 . 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption o V o R o COS 117 HSC 25185(c) (3) Failed to submit a written response within 30 days of receiving an inspection report o V c R o COS 118 HSC 25110A 0(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste o V n R n COS 119 HSC 25404(e) (4) Failed to report program data in the California Environmental Reporting System (CERS) mal" o R o COS 120 HSC 25404. 1 .2 Failed to submit a certification and written response within 30 days for minor violations c V o R o COS Treatment, Transport and Disposal 201 HSC 25163 (a) Transported or transferred hazardous waste to a transporter without valid registration c V o R o COS 202 HSC 25189. 5(a) Disposed or caused disposal of HW at an unauthorized point o V o R o COS 203 HSC 25189. 5(c) Transported or caused transportation of hazardous waste to an unauthorized point n V a R n COS 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste c V o R o COS 205 HSC 25250.7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste n V ❑ R ❑ COS 206 HSC 25160. 2(c) (2) Waste stream or generator not eligible to use consolidated manifesting procedure ❑ V ❑ R ❑ COS FA0002064 PR0518490 SCO03 06/12/2019 EHD 22-01 Rev. 09/27/2018 Page 1 of 4 Small Quantity Hazardous Waste Generator OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com