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Cal-EPA"IIEPARTMENT OF TOXIC SU'-rANCES CONTROL PETE WILSON, Governor <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N. SAN JOAQUIN STREET/ PO BOX 388 <br /> STOCKTON, CA 95201-0388 0 <br /> CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br /> Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> UNIT SHEET <br /> Complete one�,unit sheet for each unit either listed in the notification or identified during the inspection. <br /> Unit Number: N Unit Name: <br /> Notified Tier: ----=� �!— Correct Tie-r: 1)– <br /> Notified Device Count: Tanks Containers <br /> Correct Device Count: Tanks Containers <br /> For each Unit: <br /> NO <br /> 11. All hazardous wastes treated are generated onsite. <br /> 12. The unit notification is accurate as to the number of tank(s) and/or container(s). <br /> 13. The estimated notification monthly treatment volume is appropriate for the indicated tier. <br /> 14. The waste identification/evaluation is appropriate for the tier indicated. <br /> 15. The wastestream(s) given on the notification form are appropriate for the tier. <br /> 16. The treatment process(es) given on the notification form are appropriate for the tier. <br /> 17. The residuals management information on the form is correct and documented for the unit. <br /> 18. The indicated basis for not needing a federal permit on the notification form is correct. <br /> 19. There are written operating instructions and a record of the dates, volumes, residual <br /> management, and types of wastes treated in the unit. <br /> 20. There is a written inspection schedule (containers-weekly and tanks-daily). <br /> 21. There is a written inspection log maintained of the inspections conducted. <br /> 22. If the unit has been closed, the generator has noted DTSC and the local agency of the <br /> closure. <br /> For each CA or PBR unit: <br /> — 23. The generator has secondary containment for treatment in containers. <br /> For each PBR unit: <br /> — 24. There is a waste analysis plan. <br /> — 25. There are waste analysis records. <br /> — 26. There is a closure plan for the unit. <br /> Unit Comments/Observations: (If this is a unit that was not included on the notification form, the violation is operating <br /> without a permit-HSC 25201(a). <br /> Onsite Checklist (B) Page ; Of June 5, 1995 <br />