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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sogov.org/ehd <br /> Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> Caltrans-Lodi 845 E Pine St, Lodi August 08, 2018 <br /> Universal Waste <br /> 719 CCR 66273.38 Failure of UW handler to transfer UW to the appropriate destination facility ❑V ❑R ❑COS <br /> Appliance Recycler <br /> 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR) ❑V ❑R ❑COS <br /> 802 HSC 25211.2,25211.3 Failure of a CAR to provide docs that materials that require special handling have been removed ❑V ❑R ❑COS <br /> 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑V ❑R ❑COS <br /> Other Violations <br /> 3010 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS <br /> 3020 See below Unlisted Training violation ❑V ❑R ❑COS <br /> 3030 See below Unlisted Operations/Maintenance violation ❑V ❑R ❑COS <br /> 3040 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS <br /> 3050 See below Unlisted Abandon ment/lIlegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> An inspection checklist was provided to the facility operator at the time of inspection. The EHD will generate <br /> and provide a complete report to the facility operator. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the complete inspection report. <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: August 08, 2018 Inspector: Inspector Phone: <br /> �—.00 Printed Name and Title: ELIANNA FLORIDO, EH Specialist (209)468-0343 <br /> Earl Larkin, Superintendent <br /> FA0004925 PR0507085 SCO01 08/08/2018 <br /> EHD 22-02 Rev.09/22/16 Page 4 of 4 Large Quantity Hazardous Waste Generator OIR <br />