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QSAN JOAQUIN a A0°�, ; , Environmental Health Department fQ n — COUNTY rq� ir- 0RtoNy Greatness grows here . LARGE QUANTITY HAZARDOUS WASTE GENERATOR PROGRAM INSPECTION REPORT Facility ( � ( - Facility Inspectio ( - Name: P i W S(0 Phone: Date: !(� /I Facility f _ s „ ` ^ n ,l a� Ca D: Address: (�{[ C f �/ti CA Inspection A A n ,, o n Title: 10 `,� G m1� A , M Phone: Contact: 1V ` n U Don t I I 1�/l a Inspectionv2X n Program: ��I Type: ' Vc� Consent Given For: Consent Inspection hotos ❑ Sampling Given By: 1 � ria Ythii Amount of Hazardous Waste Generated EPA ID: n f _ � � In the Last Calendar Year (Jan-Dec): 60 96 � S Cl Q` f —'�� 0v !kU CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations V = Violation R = Repeat COS = Corrected on site during inspection 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 HSC 25244. 19 , Failed to adequately complete a Source Reduction plan and have it available for review (V257) ❑ ❑ ❑ 25244.21 105 CCR 67100. 71 Failed to conduct a Source Reduction review and plan every four years , when required (V254) ❑ ❑ ❑ 67100. 8 106 CCR 67100. 9 Failed to prepare and submit a Summary Progress Report every four years (V255) ❑ ❑ ❑ 107 CCR 66265.51 Failed to prepare and implement a contingency plan (V237) ❑ ❑ ❑ 108 CCR 66265.52 Contingency plan is incomplete (V240) ❑ ❑ 109 CCR 66265. 53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies (V238) ❑ ❑ ❑ 110 CCR 66265. 54 Contingency plan not current (V824) ❑ ❑ ❑ 111 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste (V243) ❑ ❑ 112 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter (V239) ❑ ❑ ❑ 113 CCR 66262.23(a) (4) Failed to send generator manifest copies to DTSC within 30 days (V246) X ❑ ❑ 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years (V241 ) ❑ ❑ 115 CCR 66262.42 a b d Failed to comply with uniform hazardous waste manifest exception requirements (V880) ❑ ❑ 116 CCR 66268.7(a) Failed to make determination for land disposal (V252) ❑ ❑ ❑ 117 CCR 66265. 16(a-c) Failed to complete training on hazardous waste management and emergency response procedures (V245) ❑ ❑ 118 CCR 66265. 16(d) Failed to maintain complete personnel training records (V830) XI ❑ ❑ 119 HSC 25160.2(b) (3) Failed to keep copies of consolidated manifesting receipts for three years (V248) ❑ ❑ ❑ 120 HSC 25160.2(b) (4) Consolidated manifest receipts failed to contain complete information (V841 ) ❑ ❑ ❑ 121 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) ❑ ❑ ❑ 122 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption (V253) ❑ ❑ ❑ 123 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report (V799) ❑ ❑ ❑ 124 HSC 25110. 10(d) Failed to annually submit notification of generator intent to remotely consolidate hazardous waste (V881 ) ❑ ❑ ❑ 125 HSC 25404(e) (4) Failed to report program data electronically (V919) ❑ ❑ ❑ 126 CCR 66265. 55 , Failure to have an emergency coordinator available to respond to an emergency (V925) ❑ ❑ ❑ 66262 . 34(a)(4) Treatment, Transport, and Disposal V R COS 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration (V297) X ❑ ❑ 202 HSC 25189. 5(a) Disposed or caused disposal of HW at an unauthorized point (V298) ❑ ❑ ❑ ReceivedAn I Inspector: F] i A a Phone: By (initial): a � , � 1 1�� l r--v 1 k Phone: EHD 22-02 REV 11 /15/2017 Page 1 HW LOG INSPECTION REPORT 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468 -3420 1 F 209 464-0138 1 www . sjcehd . com