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San Joaquin County <br /> Environmental Health 110piartment <br /> 1869 East Hazelton Avenue, Stockton,California 95206-6232 ENVIRONMENTAL <br /> Te;tepha,nq.(209)460-3420 lax;(209)468.3433 Web:X .Wgoy,org/ehd HEALTH DEPARTME <br /> Small:Ct a " �., lazard© s Vllast Mffi tNirrspectio'n R <br /> Fh ams: Facility Phone: ata <br /> Verizon Business:KINGCA 916 654-3300 Se temtaer 03 2015 <br /> aIIdie: CERS ID: <br /> 13860 N DE VRIEB RD L Chi CA 95240 101 1479 <br /> {rtspeetiftGwftaats <br /> Jona en Pa le Veron Associate 916 439-t3bd2 <br /> Mep. on'Typ� program <br /> R T E INSPECTION-00eragna Permit 2220-SM HW GEN <5 TONBIYR <br /> Consent Por: I Consent Given By: <br /> IM InsowUon ® Phows 21 Samdes I Jonathan Pakele Verizon Associate <br /> Amount of hazardous wazste generp#dIl7t <br /> In the last calendarQo year(JarrD ; 0.00 tons TFP <br /> CCR=Califdmle Cbde of Regulhtioe6 HSC=Health and Safely Cbda CFR=Code of Federal Regulations <br /> Y=violallon R-Repsstvtolatlon Dos n Correcied on site ctU ft inspeoan <br /> Record Keeping/Documentations <br /> 101 CCR 6626212 Milllaged a haiardqus waste without a valid EPA Ip number q V 'q R 'o C12S <br /> 10 CCR 66262.1.1, Failed to determine 0 a waste Is a hazardous waste or retain waste analysis on site for 3 years o V OR o COS <br /> 60282.A0(c) <br /> 1.03 CCR 66262.34(d)(2) No modified cpntingency plan rJ V u R a COS <br /> 104 CCR 66262.34(du2) No erneroah.cy coordinator w V o k 4 COS <br /> 105 CCR 06262.34(d)(2) Failed to train employees on wade handling and emergengy procedures ❑V ❑R d COS <br /> i <br /> 106 CCR 68282.20 Failed to prepare manifests for transpgltation of hazardous waste a V nit v.OqS <br /> 107 CCR 88262.23(x) Failed to complete,sign or date rnanifast,or obtain dated signature of transpotter ❑V o R p COS <br /> 108 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days o V o R o COS <br /> 105 CCR 66262.40(a) Fall$d to keep-signed copy of manifests from the designated facility for three years ■V ■R n OOS <br /> 110 CCR 86262.42 Failed to comply with uniform hazardous waste manifest exception requirements n V n R c COS <br /> 111 CCR 66268.7(a) Failed to make determinallon for land disposal a V a R o COS <br /> 112 HSC 26160.2(b)(3) Fa to keep copies of consolldeted manifesting receipts for three years o V u R o COS <br /> 113 HSC 26160.2(b)(4) Can idlidated manifest receipts failed to contain complete Information o V o R o COS <br /> 114 CCR 66266,81(a)(4)(D) Fall d to retain copy of manifest or bill of lading for Spent lead add batteries for 3 years n V a R o COS <br /> 115 HSC 26143.10 Fall d to provide Information for>100 kg/mo recyclable material to claim the exclusion or exemption o V a R o COS <br /> 116 HSC 25165(c)(3) Fail d to submit a written response within 30 days of receiving an Inspection report o V u R ❑COS <br /> 117 HSC 26404(0)(4) Failed to report program data electronically o V ❑R o COS <br /> ' 'Treatment,Transpoitandl,Dal <br /> 201 HSC 25163(a) Tra sported or transferred hazardous wrAste to a transporter without valid registration o V c R o COS <br /> 202 HSC 251 B9.5(a) Dial osed or caused disposal of HW at an unauthorized point ❑V o R o COS <br /> 243 HSC 26189.15(c) Trai sported 9r caused transportation of hazardous waste to an unauthorized point o V a R o COS <br /> 204 HSC 26201(a) Fall id to obtain a permit to treat hazardous waste ❑V o R o COS <br /> 205 HSC 25250.7 Failed to manage used all contaminated with other hazardous waste as hazardous waste ❑V o R ❑COS <br /> 206 HSC 25160.7(c)(2) Waste stream or generator not eligible to use consolidated manifesting procedure ai V u R o COS <br /> Rp'laeedliess ani�pr' ire tsh' <br /> Received by inspector: Phone: Date: <br /> (Initiaq: ARTS VELOSO,Senior RENS (209)468-3453 0910312015 <br /> Page 1 of 4 <br />