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Environmental Health Department <br />RCRA Large Quantity Hazardous Waste Generator Inspection Report <br />Date: <br />March 10, 2020 <br /> Facility Address: <br /> 1777 W YOSEMITE AVE, MANTECA <br /> Facility Name: <br /> KAISER FOUNDATION - MANTECA <br />Universal Waste <br /> 714 □ V □ R □ COS No written operating procedure for aerosol can processingHSC 25201.16(h)(4) <br /> 715 □ V □ R □ COS Failed to submit or amend notification for aerosol can processingHSC 25201.16(j) <br /> 716 □ V □ R □ COS UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notificationCCR 66273.40(a)(3)(4) <br /> 717 □ V □ R □ COS Failure of a UW handler to submit a complete annual report to DTSCCCR 66273.32(d) <br /> 718 □ V □ R □ COS Failure of UW handler to transfer UW to the appropriate destination facilityCCR 66273.38 <br /> 719 □ V □ R □ COS UW handler caused improper disposal of UWCCR 66273.31(a) <br /> 720 □ V □ R □ COS Conditionally exempt small quantity UW generator caused improper disposal of UWCCR 66273.8(b) <br />Certified Appliance Recycler (CAR) <br /> 801 □ V □ R □ COS Failure to obtain Certified Appliance Recycler certification (CAR)HSC 25211.4 <br /> 802 □ V □ R □ COS Failure of a CAR to provide docs that materials that require special handling have been removedHSC 25211.2, 25211.3 <br /> 803 □ V □ R □ COS Failure of a CAR to properly remove and dispose of all materials that require special handlingHSC 25212 <br />Other Violations <br /> 3110 □ V □ R □ COS Unlisted Administration/Documentation violation See below <br /> 3120 □ V □ R □ COS Unlisted Training violation See below <br /> 3130 □ V □ R □ COS Unlisted Operations/Maintenance violation See below <br /> 3140 □ V □ R □ COS Unlisted Release/Leaks/Spills violation See below <br /> 3150 □ V □ R □ COS Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation See below <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />RemarksItem # <br />Overall Inspection Comments: <br />An inspection checklist was provided to the facility operator at the time of inspection. The inspector will provide a <br />complete report to the facility operator shortly. <br />Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br />documenting the corrective actions that have been or will be taken for each violation, and any supporting <br />paperwork, within 30 days of receiving the complete inspection report. <br />AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br />THIS FACILITY BACK INTO COMPLIANCE. <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Inspector Phone: <br /> (209) 468-0343 ELIANNA FLORIDO, REHS <br /> Inspector:March 10, 2020 Date: <br />Printed Name and Title: <br />Felisa Umana, Safety Specialist <br />FA0003978 PR0543628 SC001 03/10/2020 <br />EHD 22-03 Rev. 9/20/2019 RCRA Large Quantity Hazardous Waste Generator OIRPage 4 of 4 <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com