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Environmental Health Department <br />Facility Name: <br />WOODBRIDGE AM PM* <br />Facility Address: <br />18806 N LOWER SACRAMENTO RD, WOODBRIDGE, CA 95258 <br />Facility Phone: <br />(209) 339-8238 <br />Program: <br />2220 - SM HW GEN <5 TONS/YR <br />Inspection Type: <br />ROUTINE INSPECTION -Operating Permit <br />Date: <br />May 03, 2019 <br />CERS ID: <br />10181237 <br />Inspection Contact: <br />Jassi Bola <br /> Consent For: Consent Given By: <br />Jassi Bola, owner <br />Title: <br />owner <br />Phone: <br />(916)834-9436 <br />Inspection Photos Samples <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Amount of hazardous waste generated <br />in the last calendar year (Jan-Dec): <br /> EPA/State ID: <br />CAL0003126520.00 tons <br />HSC = Health and Safety Code CFR = Code of Federal RegulationsCCR= Title 22 California Code of Regulations <br />R = Repeat violation COS = Corrected on site during inspectionV= Violation <br />Record Keeping/Documentation <br />101 □ V □ R □ COS <br />Managed a hazardous waste without an identification numberCCR 66262.12 <br />102 □ V □ R □ COS <br />Failed to determine if a waste is a hazardous wasteCCR 66262.11 <br />103 □ V □ R □ COS <br />Failed to retain hazardous waste determination including waste analysis on site for 3 yearsCCR 66262.40(c) <br />104 □ V □ R □ COS <br />No modified contingency planCCR 66262.34(d)(2) <br />105 □ V □ R □ COS <br />No emergency coordinatorCCR 66262.34(d)(2) <br />106 □ V □ R □ COS <br />Failed to train employees on waste handling and emergency proceduresCCR 66262.34(d)(2) <br />107 □ V □ R □ COS <br />Failed to prepare manifests for transportation of hazardous wasteCCR 66262.20 <br />108 □ V □ R □ COS <br />Failed to complete, sign or date manifest; or obtain dated signature of transporterCCR 66262.23(a) <br />109 ■ V □ R □ COS <br />Failed to send generator manifest copies to DTSC within 30 daysCCR 66262.23(a)(4) <br />110 □ V □ R □ COS <br />Failed to keep signed copy of manifests from the designated facility for three yearsCCR 66262.40(a) <br />111 □ V □ R □ COS <br />Failed to comply with uniform hazardous waste manifest exception requirementsCCR 66262.42(a)(c)(d) <br />112 □ V □ R □ COS <br />Failed to make determination for land disposalCCR 66268.7(a) <br />113 □ V □ R □ COS <br />Failed to keep copies of consolidated manifesting receipts for three yearsHSC 25160.2(b)(3) <br />114 □ V □ R □ COS <br />Consolidated manifest receipts failed to contain complete informationHSC 25160.2(b)(4) <br />115 □ V □ R □ COS <br />Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 yearsCCR 66266.81(a)(4)(B) <br />116 □ V □ R □ COS <br />Failed to provide information for >100 kg/mo recyclable material to claim the exclusion or exemptionHSC 25143.10 <br />117 □ V □ R □ COS <br />Failed to submit a written response within 30 days of receiving an inspection reportHSC 25185(c)(3) <br />118 □ V □ R □ COS <br />Failure to annually submit notification of generator intent to remotely consolidate hazardous wasteHSC 25110.10(d) <br />119 □ V □ R □ COS <br />Failed to report program data in the California Environmental Reporting System (CERS)HSC 25404(e)(4) <br />120 □ V □ R □ COS <br />Failed to submit a certification and written response within 30 days for minor violationsHSC 25404.1.2 <br />Treatment, Transport and Disposal <br />201 □ V □ R □ COS <br />Transported or transferred hazardous waste to a transporter without valid registrationHSC 25163(a) <br />202 □ V □ R □ COS <br />Disposed or caused disposal of HW at an unauthorized pointHSC 25189.5(a) <br />203 □ V □ R □ COS <br />Transported or caused transportation of hazardous waste to an unauthorized pointHSC 25189.5(c) <br />204 □ V □ R □ COS <br />Failed to obtain a permit to treat hazardous wasteHSC 25201(a) <br />205 □ V □ R □ COS <br />Failed to manage used oil contaminated with other hazardous waste as hazardous wasteHSC 25250.7 <br />206 □ V □ R □ COS <br />Waste stream or generator not eligible to use consolidated manifesting procedureHSC 25160.2(c)(2) <br />Page 1 of 4 <br />FA0003607 PR0517889 SC001 05/03/2019 <br />EHD 22-01 Rev. 09/27/2018 Small Quantity Hazardous Waste Generator OIR <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com