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SA N _.J D A Q U IN Environmental Health Department <br /> COUNTY <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility (�`^^.�nn �y + Facility Inspection <br /> Name: S Y im r r `�, * n� 1� Address: Date: A /309 <br /> Universal Waste V R COS <br /> 707 HSC 25201.16(e) Failed to manage aerosol cans in a manner that prevents the unauthorized release of waste(V325) ❑ ❑ ❑ <br /> 708 HSC 25201.16(fl Failed to properly manage containers of waste aerosol cans(V328) ❑ ❑ ❑ <br /> 709 HSC 25201.16(g) Failed to store used aerosol cans in an accumulation container(V801) ❑ ❑ ❑ <br /> 710 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing(V826) ❑ ❑ ❑ <br /> 711 HSC 25201.160) Failed to submit or amend notification for aerosol can processing(V828) ❑ ❑ ❑ <br /> 712 CCR 66273.34 Failed to label universal waste to identify type of universal waste(V321) ❑ 1 ❑ ❑ <br /> 713 CCR 66273.35 Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored ❑ 11 ❑ <br /> 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures(V318) ❑ ❑ ❑ <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal waste for three years(V784) ❑ ❑ ❑ <br /> 716 CCR 66273.40(a)(4) UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification(V333) ❑ ❑ ❑ <br /> 717 CCR 66273.32(b) Failed to obtain an ID number from DTSC prior to accumulating,>5000kg of non-RCRA UW(315) ❑ ❑ ❑ <br /> 718 CCR 66273.32(d) Failure of a UW handler to submit a complete annual report to DTSC(V331) ❑ ❑ ❑ <br /> 719 CCR 66273.38 Failure of UW handler to transfer UW to the appropriate destination facility(V320) ❑ ❑ ❑ <br /> Appliance Recycler V R COS <br /> 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR)(V886) ❑ ❑ ❑ <br /> 802 HSC 25211.2, Failure of a CAR to provide docs that materials that require special handling have been removed(V887) ❑ ❑ ❑ <br /> 25211.3 <br /> 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling(V923) ❑ ❑ ❑ <br /> Other Violations V R COS <br /> 3010 See below Unlisted Administration/Documentation violation(V263) ❑ ❑ ❑ <br /> 3020 See below Unlisted Training violation(V262) ❑ ❑ ❑ <br /> 3030 See below Unlisted Operations/Maintenance violation(V266) ❑ ❑ n <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) ❑ ❑ ❑ <br /> 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation(V265) ❑ ❑ ❑ <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR—Notice to Comply <br /> A l�/1 . S. tw <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by(signature): Title: Date: <br /> N&ywya1V)6Aa9ei- 1130 19 <br /> Received by(printed name): Inspector: Inspector phone: <br /> oo Sa,��i�u �ll`GtwY�a �ohGC�, 12 1 j 2eq4ur �03 <br /> EHD 22-01 REV 11/02/17 -Page 3 HW SQG INSPECTION REPORT <br />