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lllh� ..s SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.socehd.com LARGE QUANTITY HAZARDOUS WASTE GENERATOR PROGRAM INSPECTION REPORT Facility t Facility Inspection / Name: Phone: Date: Facility CERS Address: -) ID: Inspection • Title: /� hon Contac: �b�/ b �C • Par rr � 5gtj Inspection Program: Type: Consent Given For Consent 1 C Inspection hotos o Sampling Given ay: (J�/ Amount of Hazardous Waste Generated EPA ID: In the last Calendar Year(Jan-Dec): CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations V=Violation R=Repeat COS=Corrected on site durinq inspection Record Keeping/Docixrhentatid'. 101 CCR 66262.12 Managed a hazardous waste without a valid EPA ID number(V236) ❑ ❑ ❑ 102 HSC 25244.19, Failed to prepare a source reduction review and plan and have it available for review(V257) 0 0 0 25244.21 103 CCR 67100.7, Failed to prepare a hazardous waste management report(V254) 0 0 0 67100.8 104 CCR 67100.9 Failed to prepare and submit a Summary Progress Report(V255) ❑ ❑ ❑ 105 CCR 66262.11, Failed to determine if a waste is a hazardous waste or retain waste analysis on site for 3 years(V251) ❑ ❑ ❑ 66262.40(G) 106 CCR 66265.51 Failed to prepare and implement a contingency plan(V237) ❑ ❑ ❑ 107 CCR 66265.52 Contingency plan is incomplete(V240) ❑ ❑ ❑ 108 CCR 66265.53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies(V238) ❑ ❑ ❑ 109 CCR 66265.54 Contingency plan not current(V824) ❑ ❑ ❑ 110 CCR 66265.11 Failed to complete training on hazardous waste management and emergency response procedures(V245) ❑ ❑ ❑ 111 CCR 65265.16(d) Failed to maintain complete personnel training records(V830) ❑ ❑ ❑ 112 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste(V243) ❑ ❑ ❑ 113 CCR 66262.23(a) Failed to complete,sign or date manifest;or obtain dated signature of transporter(V239) ❑ ❑ ❑ 114 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days(V246) ❑ ❑ ❑ 115 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years(V241) ❑ 0 0 116 CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements(V244) 0 0 0 117 CCR 66268.7(a) Failed to make determination for land disposal(V252) ❑ ❑ ❑ 118 HSC 25160.2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years(V248) ❑ ❑ ❑ 119 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information(V841) 0 ❑ ❑ CCR 4 B Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years(V250) 0 0 0 120 66266.81 a 121 HSC 25143.10 Failed to provide information for>100 kg/mo recyclable material to claim the exclusion or exemption(V253) ❑ ❑ ❑ 122 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report(V799) 0 0 0 123 HSC 25404(e)(4) Failed to report program data electronically(V813) ❑ ❑ 0 atment,Transport,and Disp 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration(V297) ❑ 0 0 202 HSC 25189.5(a) Disposed or caused disposal of HW at an unauthorized point(V298) 0 0 ❑ 203 HSC 25189.5(c) Transported or caused transportation of hazardous waste to an unauthorized point(V786) ❑ ❑ ❑ 204 HSC 25201(a) Failed to obtain a permit to treat hazardous waste(V760) 0 ❑ ❑ 205 HSC 25250.7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste(V278) 0 0 ❑ 206 HS c)(2) Waste stream or generator not eligible to use consolidated manifesting procedure(V842) 0 ❑ ❑ Received Inspector: Inspector By(initial: Phone: 8'-3 EHD 22-02 R /04/15 Page 1 HW LOG INSPECTION REPORT _r Or'