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o; UlN SAN J O A Q U I N L � � �® omental Health Department COUNTY °q� ¢l� Greatness prows here . IFO SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT Facility ( n Facility Inspection n S n Name: I a '# W] Phone: Date: Facility CERS Address: I s . � ( � Ca tP ID: Inspection G /� T Title:` ^ , � Phone: Contact: 1 Gf, ( f L v t l(jo Q Inspection , ,, p Program: /� n Type: Consent Given For: Consent inspection Photos ❑ Sampling Given By: CrIOMnO, r1oLrZA X Amount of Hazardous Waste Generated m C EPA ID: � ` ' 11 � I s In the Last Calendar Year (Jan-Dec): v o �(J�' I ,) CA t.t- CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat COS = Corrected on site during ins ection Record Keeping/Documentation V R COS 101 CCR 66262 . 12 Managed a hazardous waste without a valid EPA ID number (V236) ❑ ❑ ❑ 102 CCR 66262 . 11 Failed to determine if a waste is a hazardous waste (V251 ) ❑ ❑ ❑ 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years (V879) ❑ ❑ ❑ 104 CCR 66262 . 34(d)(2) No modified contingency plan (V299) ❑ ❑ 105 CCR 66262 . 34(d)(2) No emergency coordinator (V311 ) ❑ ❑ 106 CCR 66262. 34(d) (2) Failed to train employees on waste handling and emergency procedures (V242) ❑ ❑ 107 CCR 66262. 20 Failed to prepare manifests for transportation of hazardous waste (V243) ❑ ❑ ❑ 108 CCR 66262. 23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter (V239) ❑ ❑ ❑ 109 CCR 66262 . 23(a)(4) Failed to send generator manifest copies to DTSC within 30 days (V246) ❑ ❑ 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years (V241 ) ❑ ❑ 111 CCR 66262 ,42(ac d Failed to comply with uniform hazardous waste manifest exception requirements (V244) 11 ❑ 112 CCR 66268. 7(a) Failed to make determination for land disposal (V252) ❑ ❑ ❑ 113 HSC 25160.2(b) (3) Failed to keep copies of consolidated manifesting receipts for three years (V248) ❑ ❑ ❑ 114 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information (V841 ) ❑ ❑ ❑ 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 (V250) ❑ ❑ ❑ 116 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption (V253) ❑ ❑ ❑ 117 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report (V799) ❑ ❑ ❑ 118 HSC 25110 . 10(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste (V898) ❑ ❑ ❑ 1191HSC 25404(e) (4) Failed to report program data electronically (V919) ❑ ❑ ❑ Treatment, Transport, and Disposal V R COS 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration (V297) ❑ ❑ ❑ 202 HSC 25189. 5(a) Disposed or caused disposal of HW at an unauthorized point (V298) ❑ ❑ ❑ 203 HSC 25189. 5(c) Transported or caused transportation of hazardous waste to an unauthorized point (V786) ❑ ❑ ❑ 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste (V760) ❑ 1 ❑ ❑ 205 HSC 25250. 7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste (V278) ❑ ❑ ❑ 206 HSC 25160. 2(c)(2) Waste stream or generator not eligible to use consolidated manifesting procedure (V842) ❑ ❑ ❑ 207 HSC 25144. 6(b) Failure to properly manage reusable soiled textile materials (V882) ❑ ❑ ❑ 208 HSC 25200 . 3. 1 (c) Failure of laboratory to comply with hazardous waste treatment requirements (V920) ❑ ❑ ❑ 209 CCR 66262.34(d)(2) Failure to remove all hazardous waste from tanks, containers and containment upon facility closure (V921 ) ❑ ❑ ❑ ReceivedInspector: � l/� t Vl wt ,^ �� , Inspector By (initial) . ' ` S Phone: EHD 22-01 REV 11 /02/17 Pagel HW SQG INSPECTION REPORT 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 F 209 464 - 0138 1 www . sjcehd . com moSy og31