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SAN JOAUUIN <br />C=CDUNTY <br />:_,.:>- Greotness grows here. <br />Environmental Health Department <br />EHD 22-01 Rev. 9/2012019 Page 1 of 4 Small Quantity Hazardous Waste Generator OR <br />Small Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: ` <br />Facility Phone: <br />Date: <br />Facility Address: <br />CERS ID: <br />Inspection Contact: <br />•'h ; h <br />UrLI cx:\reW <br />Title: <br />U <br />Phone: <br />Inspection <br />Type: <br />Program: <br />Consent For: <br />Inspection 0 Photos <br />❑ Samples <br />Consent Given By: <br />M Lh ' (cwt <br />in the last calendar year (Jan -Dec): Amount of hazardous waste generated <br />EPA/State ID: <br />CCR = Title 22 California Code <br />of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br />V = Violation R = Repeat violation <br />COS = Corrected on site <br />during <br />inspection <br />Record Keeping/Documentation <br />101 <br />CCR <br />66262.12 <br />Managed a hazardous waste without an identification number <br />n <br />V <br />DR <br />o <br />COS <br />102 <br />CCR <br />66262.11 <br />Failed to determine if a waste is a hazardous waste <br />,O <br />V <br />o <br />R <br />o <br />COS <br />103 <br />CCR <br />66262.40(c) <br />Failed to retain hazardous waste determination including waste analysis on site for 3 years <br />n <br />V <br />u <br />R <br />o <br />COS <br />104 <br />CCR <br />66262.34(d)(2) <br />No modified contingency plan <br />N <br />V <br />o <br />R <br />o <br />COS <br />105 <br />CCR <br />66262.34(d)(2) <br />No emergency coordinator available for emergency response <br />o <br />V <br />o <br />R <br />o <br />COS <br />106 <br />CCR <br />66262.34(d)(2) <br />Failed to train employees on waste handling and emergency procedures <br />o <br />V <br />o <br />R <br />o <br />COS <br />107 <br />CCR <br />66262.20 <br />Failed to prepare manifests for transportation of hazardous waste <br />o <br />V <br />o <br />R <br />o <br />COS <br />108 <br />CCR <br />66262.23(a) <br />Failed to complete, sign or date manifest; or obtain dated signature of transporter <br />o <br />V <br />u <br />R <br />o <br />COS <br />109 <br />CCR <br />66262.23(a)(4) <br />Failed to send paper originated generator manifest copies to DTSC within 30 days <br />o <br />V <br />u <br />R <br />u <br />COS <br />110 <br />CCR <br />66262.40(a) <br />Failed to keep signed copy of manifests from the designated facility for three years <br />u <br />V <br />n <br />R <br />o <br />COS <br />111 <br />CCR <br />66262.42(a)(c)(d) <br />Failed to comply with uniform hazardous waste manifest exception requirements <br />o <br />V <br />u <br />R <br />u <br />COS <br />112 <br />CCR <br />66268.7(a) <br />Failed to make determination for land disposal <br />o <br />V <br />o <br />R <br />o <br />COS <br />113 <br />HSC <br />25160.2(b)(3) <br />Failed to keep copies of consolidated manifesting receipts for three years <br />o <br />V <br />n <br />R <br />o <br />COS <br />114 <br />HSC <br />25160.2(b)(4) <br />Consolidated manifest receipts failed to contain complete information <br />n <br />V <br />o <br />R <br />o <br />COS <br />115 <br />CCR <br />66266.81(a)(4)(B) <br />Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years <br />u <br />V <br />o <br />R <br />o <br />COS <br />116 <br />HSC <br />25143.10 <br />Failed to provide recyclable material information to claim the exclusion or exemption <br />n <br />V <br />u <br />R <br />o <br />COS <br />117 <br />HSC <br />25185(c)(3) <br />Failed to submit a written response within 30 days of receiving an inspection report <br />o <br />V <br />n <br />R <br />u <br />COS <br />118 <br />HSC <br />25110.10(d) <br />Failure to annually submit notification of generator intent to remotely consolidate hazardous waste <br />u <br />V <br />u <br />R <br />o <br />COS <br />119 <br />HSC <br />25404(e)(4) <br />Failed to report accurate program data in the California Environmental Reporting System (CERS) <br />MY <br />u <br />R <br />u <br />COS <br />120 <br />HSC 25250.181 <br />25250.19 <br />Failed to maintain written record for each shipment of recycled or exempted oil for 3 years <br />n <br />V <br />o <br />R <br />o <br />COS <br />Treatment, Transport and Disposal <br />201 <br />HSC <br />25163(a) <br />Failure to use a DTSC registered transporter to transport hazardous waste <br />n <br />V <br />o <br />R <br />o <br />COS <br />202 <br />HSC <br />25189.5(a) <br />Disposed or caused disposal of hazardous waste at an unauthorized point <br />o <br />V <br />n <br />R <br />o <br />COS <br />203 <br />HSC <br />25189.5(c) <br />Transported or caused transportation of hazardous waste to an unauthorized point <br />n <br />V <br />o <br />R <br />o <br />COS <br />204 <br />HSC <br />25201(a) <br />Failed to obtain a permit to treat hazardous waste <br />o <br />V <br />u <br />R <br />n <br />COS <br />205 <br />HSC <br />25250.7 <br />Failed to prevent contamination of used oil with other hazardous waste <br />u <br />V <br />o <br />R <br />o <br />COS <br />1868 E. Hazelton Avenue � Stockton, California 95205 � T 209 468-3420 � F 209 464-0138 � www.sjcehd,com <br />