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OAQ I I IN Environmental Health Department SMALL QUANTITY HAZARDOUS ,WASTE PROGRAM INSPECTION REPORT Facility �] r Name: �� I I I�j�G^ L� 5U '0(0?? Facility Address: Inspection Date: 124101( r SUMMARY OF VIOLATIONS (CL`ASS I, CLASS II, or MINOR-,�Noticce to Cjo.npl Universal Waste V R COS 707 HSC 25201.16(e) Failed to manage aerosol cans in a manner that prevents the unauthorized release of waste (V325) ❑ ❑ ❑ 708 HSC 25201.16(f) Failed to properly manage containers of waste aerosol cans (V328) ❑ ❑ ❑ 709 HSC 25201 A6(g) Failed to store used aerosol cans in an accumulation container (V801) ❑ ❑ ❑ 710 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing (V826) ❑ ❑ ❑ 711 HSC 25201.160) Failed to submit or amend notification for aerosol can processing (V828) ❑ ❑ ❑ 712 CCR 66273.34 Failed to label universal waste to identify type of universal waste (V321) ❑ ❑ ❑ 713 CCR 66273.35 Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored 330 ° ° ° 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures (V318) ❑ ❑ ❑ 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years (V784) ❑ ❑ ❑ 716 CCR 66273.40(a)(4) UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification (V333) ❑ ❑ ❑ 717 CCR 66273.32(b) Failed to obtain an ID number from DTSC prior to accumulating >5000kg of non-RCRA UW (315) ❑ ❑ ❑ 718 CCR 66273.32(d) Failure of a UW handler to submit a complete annual report to DTSC (V331) ❑ ❑ ❑ 719 CCR 66273.38 Failure of UW handler to transfer UW to the appropriate destination facility (V320) ❑ ❑ ❑ SUMMARY OF VIOLATIONS (CL`ASS I, CLASS II, or MINOR-,�Noticce to Cjo.npl Appliance Recycler V R COS 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification (CAR) (V886) ❑ ❑ ❑ 802 HSC 25211 .2, 25211.3 Failure of a CAR to provide docs that materials that require special handling have been removed (V887) ❑ ❑ ❑ 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling (V923) ❑ ❑ ❑ SUMMARY OF VIOLATIONS (CL`ASS I, CLASS II, or MINOR-,�Noticce to Cjo.npl Other Violations V R COS 3010 See below Unlisted Administration/Documentation violation (V263) ❑ ❑ ❑ 3020 See below Unlisted Training violation (V262) 13 (3❑ 3030 See below Unlisted Operations/Maintenance violation (V266) ❑ ❑ ❑ 3040 See below Unlisted Release/Leaks/Spills violation (V264) 11 ❑ 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation (V265) ❑ ❑ ❑ SUMMARY OF VIOLATIONS (CL`ASS I, CLASS II, or MINOR-,�Noticce to Cjo.npl Title: l w ckp d m maaqocr A �I �/V{� W '� of `Vwvn\ 1 ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT WILL BE BILLED AT THE EHD'S CURRENT CURRENT HOURLY RATE. HOURLY RATE, I1 Received (signature): Title: Date: I Received (printed name): �q) V L Inspector: ��►��V��/1 Inspect r pho : c EHD 22-01 REV 11/02/17 Page 3 26 HW SOG INSPECTION REPORT