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SA VIAft hl Environmental Health Department ,, . t I V AMENDED 6/7/2o22 Small Quantity Hazardous Waste Generator Inspection Report ' Facility Name : Facility Phone : Date : DAMERON HOSPITAL SURGICAL PAVILION (209) 944-5550 April 25 , 2022 Facility Address : CERS ID: 445 W ACACIA ST, STOCKTON , CA 95203 10182991 Inspection Contact: Title : Phone : Denise Corkill Dir. of Plant Ops & Maint (925) 819-2806 Inspection Type : Program : ROUTINE INSPECTION Operating Permit 12220 - SM HW GEN < 5 TONSNR Consent For: Consent Given By : M Inspection N Photos ❑ Samples Denise Corkill , Dir. of Plant Ops & Maint Amount of hazardous waste generated EPA/State ID : in the last calendar year (Jan -Dec) : 0 . 04 tons CAL000394597 CCR = Title 22 California Code of Regulations HSC = Health and Safely Code CFR = Code of Federal Regulations EHD = Environmental Health Department V = Violation R = Repeat violation COS = Corrected on site during inspection Record Keeping/Documentation 101 CCR 66262. 12 Managed a hazardous waste without an identification number o V o R o COS 102 CCR 66262 . 11 Failed to determine if a waste is a hazardous waste o V o R o COS 103 CCR 66262 . 40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years o V o R o COS 104 CCR 66262. 34(d) (2) No modified contingency plan o V o R o COS 105 CCR 66262. 34 (d) (2) No emergency coordinator available for emergency response I 7 1 ■ V o R o COS 106 CCR 66262. 34 (d) (2) Failed to train employees on waste handling and emergency procedures o V o R o COS 107 CCR 66262 . 20 Failed to prepare manifests for transportation of hazardous waste ❑ V ❑ R o COS 108 CCR 66262 . 23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter o V o R o COS 109 CCR 66262 . 23(a)(4) Failed to send paper originated generator manifest copies to DTSC within 30 days o V o R o COS 110 CCR 66262. 40(a) Failed to keep signed copy of manifests from the designated facility for three years o V o R o COS 111 CCR 66262. 42(a) (c)(d) Failed to comply with uniform hazardous waste manifest exception requirements o V o R o COS 112 CCR 66268 . 7(a) Failed to make determination for land disposal o V u R o COS 113 HSC 25160. 2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years o V o R o COS 114 HSC 25160. 2(b)(4) Consolidated manifest receipts failed to contain complete information o V o R o COS 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 o V o R o COS 116 HSC 25143. 10 Failed to provide recyclable material information to claim the exclusion or exemption o V o R o COS 117 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report o V o R o COS 118 HSC 25110. 10(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste o V o R o COS 119 HSC 25404(e)(4) Failed to report accurate program data in the California Environmental Reporting System (CERS) ❑ V o R o COS 120 HSC 25250. 18 , Failed to maintain written record for each shipment of recycled or exempted oil for 3 years o V ❑ R o COS 25250. 19 Treatment, Transport and Disposal 201 HSC 25163(a) Failure to use a DTSC registered transporter to transport hazardous waste o V o R o COS 202 HSC 25189. 5(a) Disposed or caused disposal of hazardous waste at an unauthorized point o V o R o COS 203 HSC 25189. 5(c) Transported or caused transportation of hazardous waste to an unauthorized point o V o R o COS 204 HSC 25201 (a) Failed to obtain appropriate permit to accept, treat, store or dispose of a hazardous waste o V o R o COS 205 HSC 25250 . 7 Failed to prevent contamination of used oil with other hazardous waste ❑ V o R o COS FA0009885 PR0514081 SCO01 04/25/2022 EHf i 22-01 Rev, 12/06/2021 Page 1 of 5 Small Quantity Hazardous Waste Generator OIR 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468- 3420 1 F 209 464- 0138 1 www . sjgov . org/EHD