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SAN 10AQ U I N Environmental Health Department <br /> COUNTY - - - <br /> , F F. <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name : / F Pho e: Date <br /> Facili� Ad ess :� Vir 1 C R ID : <br /> Title : <br /> Inspection Typ Progr ` /^ a(Jo <br /> Consent For: Consent Given By: ` I <br /> Inspection ❑ Photos ❑ Samples C 0A, v <br /> Amount of hazardous waste generated IV t ,� I � � �t <br /> in the last calendar year Jan -Dec): �� r�J VZT sip <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 ❑ 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 CCR 66262. 34 (d)(2) No modified contingency plan 1gtV n R KCOS <br /> 105 CCR 66262. 34 (d) (2) No emergency coordinator ❑ V ❑ R ❑ COS <br /> 106 CCR 66262. 34 (d) (2) Failed to train employees on waste handling and emergency procedures ❑ V ❑ R ❑ COS <br /> 107 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste ❑ V ❑ R ❑ COS <br /> 108 CCR 66262. 23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter ❑ V ❑ R ❑ COS <br /> 109 CCR 66262. 23(a)(4) Failed to send generator manifest copies to DTSC within 30 days ❑ V ❑ R ❑ COS <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years ❑ V ❑ R ❑ COS <br /> 111 CCR 66262.42(a) (c) (d) Failed to comply with uniform hazardous waste manifest exception requirements ❑ V ❑ R ❑ COS <br /> 112 CCR 66268.7(a) Failed to make determination for land disposal ❑ V ❑ R ❑ COS <br /> 113 HSC 25160 . 2(b) (3) Failed to keep copies of consolidated manifesting receipts for three years XV ❑ R ❑ COS <br /> 114 HSC 25160.2(b) (4) Consolidated manifest receipts failed to contain complete information ❑ V ❑ R ❑ COS <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 ❑ V ❑ R ❑ COS <br /> 116 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption ❑ V ❑ R ❑ COS <br /> 117 HSC 25185(c) (3) Failed to submit a written response within 30 days of receiving an inspection report ❑ V ❑ R ❑ COS <br /> 118 HSC 25110. 10(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste ❑ V ❑ R ❑ COS <br /> 119 HSC 25404(e) (4) Failed to report program data in the California Environmental Reporting System (CERS) kV ❑ R ❑ COS <br /> 120 HSC 25404. 1 .2 Failed to submit a certification and written response within 30 days for minor violations ❑ V ❑ R ❑ COS <br /> Treatment, Transport and Disposal <br /> 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration ❑ V ❑ R ❑ COS <br /> 202 HSC 25189. 5 (a) Disposed or caused disposal of HW at an unauthorized point ❑ V ❑ R ❑ COS <br /> 203 HSC 25189.5 (c) Transported or caused transportation of hazardous waste to an unauthorized point ❑ V ❑ R ❑ COS <br /> 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste ❑ V ❑ R ❑ COS <br /> 205 HSC 25250.7 Failed to prevent intentional contamination of used oil with other hazardous waste ❑ V ❑ R ❑ COS <br /> 206 HSC 25160. 2(c) (2) Waste stream or generator not eligible to use consolidated manifesting procedure ❑ V ❑ R ❑ COS <br /> 11113/2019 <br /> EHD 22-01 Rev. 9/20/2019 Page 1 of 4 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E . Hazelton Avenue Stockton , California 952051 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd . com <br />