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SAN J O A Q U I N Environmental Health Department Large Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address : Date: Universal Waste 720 CCR 66273. 31 (a) UW handler caused improper disposal of UW ❑ V ❑ R ❑ COS 721 CCR 66273 . 8(b) Conditionally exempt small quantity UW generator caused improper disposal of UW ❑ V ❑ R ❑ COS Appliance Recycler 801 HSC 25211 .4 Failure to obtain Certified Appliance Recycler certification (CAR) ❑ V ❑ R [] COS 802 HSC 25211 .21 25211 . 3 Failure of a CAR to provide docs that materials that require special handling have been removed ❑ V ❑ R ❑ COS 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑ V ❑ R ❑ COS Other Violations 3010 See below Unlisted Administration/Documentation violation ❑ V ❑ R ❑ COS 3020 See below Unlisted Training violation ❑ V ❑ R ❑ COS 3030 See below Unlisted Operations/Maintenance violation ❑ V ❑ R u COS 3040 See below Unlisted Release/Leaks/Spills violation ❑ V ❑ R ❑ COS 3050 See below Unlisted Abandon ment/lllegal Disposal/Unauthorized Treatment violation ❑ V ❑ R ❑ COS SUMMARY OF VIOLATIONS (CLASS I , CLASS II, or MINOR - Notice to Comply) Item # Remarks Overall Inspection Comments : u � -kme of ► '**,, 15 , l � RAIU will 9 � viek co )t �e �or r 1 �y car r � CD (YlP j k re, ,� LA) y f So�c e m� � a Ytd /a Lo3o � . I te ,, d(AY , AFTER THE COMPLIANCE DATE , EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING THIS FACILITY BACK INTO COMPLIANCE. THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE . Received y: ate: Inspector: Inspector Phone : 4XC4e� Printed Name and Title: 66( l �� p� / ` 1, 0L it Pew WL\rVW /` 1' Aa! I EHD 22-02 Rev. 9/20/2019 Page 4 of 4 Large Quantity Hazardous Waste Generator OIR 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209464-0138 1 www. sjcehd . com