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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sicehd.com <br /> LARGE QUANTITY HAZARDOUS WASTE GENERATOR PROGRAM INSPECTION REPORT <br /> Facility I * Facility _ Inspection <br /> Name: (� �o Address: �C Date: f (Q <br /> Universal Waste , <br /> 702 CCR 66273.32(c) Electronic device and CRT handler failed to notify DTSC 30 days prior to accepting offsite UW(V332) ❑ ❑ ❑ <br /> 703 CCR 66273.33(a) Failed to store UW batteries in a manner that prevents breakage and release to the environment(V316) o ❑ o <br /> 704 CCR 66273.33(b) Failed to properly manage universal waste lamps(V323) o o ❑ <br /> 705 CCR 66273.33(c) Failed to properly manage mercury containing universal waste(V322) o o ❑ <br /> 706 CCR 66273.33.5 Failed to properly manage universal waste electronic devices,CRTs or CRT glass(V326) o ❑ o <br /> 707 HSC 25201.16(e) Failed to manage aerosol cans in a manner that prevents the unauthorized release of waste(V325) ❑ o ❑ <br /> 708 HSC 25201.16(f) Failed to properly manage Containers of waste aerosol cans(V328) 0 ❑ ❑ <br /> 709 HSC 25201.16(g) Failed to store used aerosol cans in an accumulation container(V801) ❑ ❑ ❑ <br /> 710 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing(V826) 0 ❑ ❑ <br /> 711 HSC 25201.160) Failed to submit or amend notification for aerosol can processing(V828) 0 0 ❑ <br /> 712 CCR 66273.34 Failed to label universal waste to identify type of universal waste(V321) 0 0 n <br /> 713 CCR 66273.35 Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored ❑ ❑ 0 <br /> 330 <br /> 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures(V318) ❑ 0 0 <br /> 715 CCR 66273.39 Failed to keep complete records of each shipment of universal we for three years(t/764) 0 ❑ o <br /> O[her VtoYatlons ` <br /> 3010 See below Unlisted Administration7Dommentation violation(V263) 0 ❑ 0 <br /> 3020 See below Unlisted Training violation(V262) 0 ❑ 0 <br /> 3030 See below Unlisted Operations/Maintenance violation(V266) 0 0 0 <br /> 3040 See below Unlisted Release/Leaks/Spills violation(V264) 0 ❑ o <br /> 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation(V265) 0 0 ❑ <br /> ILSUMMA VIOLATIONS <br /> CLASS.1,CLASS II,or MINOR-Notice to Com I <br /> A44 11e <br /> n - <br /> • • 41l <br /> o <br /> u <br /> • M&Mr &7'1 <br /> • a�Q(Vmafnr �I -14nALL EHD STAF ME ASSOCIATED WITH FAILING TO COMPLY Bk. <br /> Y THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Receive t ): Title: > Date: 71 <br /> ) <br /> Received rinted name): ) Inspector: Inspector phone: / <br /> Io/ v :xm (QO <br /> EHD 2-02 REV 03/04/15 Page 3 HW LOG INSPECT REPORT <br />