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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 Facility Inspection <br /> Name: Phone. Date: <br /> Facility CERS <br /> Address: ID: <br /> Inspection Title: Phone: <br /> Contact: <br /> Inspection Program: <br /> Type: <br /> Consent Given For: Consent <br /> ❑ Inspection ❑ Photos ❑ Sampling Given By: <br /> Amount of Hazardous Waste Generated EPA to <br /> In the Last Calendar Year(Jan-Dec): <br /> CCR=California Code of Regulations HSC=Health and Safety Code CFR=Code of Federal Regulations <br /> V=Violation R=Repeat COS=Corrected on site during inspection <br /> Record KeepingifDocumentation V R COS <br /> 101 CCR 66262.12 Managed a hazardous waste without a valid EPA ID number(V236) ❑ ❑ ❑ <br /> 102 HSC 25244.19, Failed to prepare a source reduction review and plan and have it available for review(V257) ❑ ❑ ❑ <br /> 25244.21 <br /> 103 CCR 67100.71 Failed to prepare a hazardous waste management report(V254) ❑ ❑ ❑ <br /> 67100.8 <br /> 104 CCR 67100.9 Failed to prepare and submit a Summary Progress Report(V255) ❑ ❑ ❑ <br /> 105 CCR 66262.11, Failed to determine if a waste is a hazardous waste or retain waste analysis on site for 3 years(V251) ❑ ❑ ❑ <br /> 66262.40(c) <br /> 106 CCR 66265.51 Failed to prepare and implement a contingency plan(V237) ❑ ❑ ❑ <br /> 107 CCR 66265.52 Contingency plan is incomplete(V240) ❑ ❑ ❑ <br /> 108 CCR 66265.53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies(V238) ❑ ❑ ❑ <br /> 109 CCR 66265.54 Contingency plan not current(V824) ❑ ❑ ❑ <br /> 110 CCR 66261 Failed to complete training on hazardous waste management and emergency response procedures(V245) ❑ ❑ ❑ <br /> 111 CCR 66265.16(d) Failed to maintain complete personnel training records(V830) ❑ ❑ ❑ <br /> 112 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste(V243) ❑ ❑ ❑ <br /> 113 CCR 66262.23(a) Failed to complete,sign or date manifest;or obtain dated signature of transporter(V239) ❑ ❑ ❑ <br /> 114 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days(V246) ❑ ❑ ❑ <br /> 115 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years(V241) ❑ ❑ ❑ <br /> 116 CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements(V244) ❑ ❑ ❑ <br /> 117 CCR 66268.7(a) Failed to make determination for land disposal(V252) ❑ ❑ ❑ <br /> 118 HSC 25160.2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years(V248) ❑ ❑ ❑ <br /> 119 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information(V841) ❑ ❑ ❑ <br /> 120 CCR 66286.81 a 4 B Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years(V250) ❑ ❑ ❑ <br /> 121 HSC 25143.10 Failed to provide information for>100 kg/mo recyclable material to claim the exclusion or exemption(V253) ❑ in ❑ <br /> 122 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report(V799) ❑ ❑ ❑ <br /> 123 HSC 25404(e)(4) Failed to report program data electronically(V813) ❑ ❑ ❑ <br /> Treatment,Transport,and Disposal V R COS <br /> 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration(V297) ❑ ❑ ❑ <br /> 202 HSC 25189.5(a) Disposed or caused disposal of HW at an unauthorized point(V298) ❑ ❑ ❑ <br /> 203 HSC 25189.5(c) Transported or caused transportation of hazardous waste to an unauthorized point(V786) ❑ ❑ ❑ <br /> 204 HSC 25201(a) Failed to obtain a permit to treat hazardous waste(V760) ❑ ❑ ❑ <br /> 205 HSC 25250.7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste(V278) ❑ ❑ ❑ <br /> 206 HSC 25160.2(c)(2) Waste stream or generator not eligible to use consolidated manifesting procedure(V842) ❑ ❑ ❑ <br /> Received Inspector: Inspector <br /> By(initial): Phone: <br /> EHD 22-02 REV 03/04/15 Page 1 HW LOG INSPECTION REPORT <br />