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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2231-2238 – Tiered Permitting Program
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PR0506872
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COMPLIANCE INFO_PRE 2019
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Last modified
7/1/2020 9:25:40 PM
Creation date
6/23/2020 6:29:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0506872
PE
2234
FACILITY_ID
FA0007671
FACILITY_NAME
LensCrafters # 135
STREET_NUMBER
4950
STREET_NAME
PACIFIC
STREET_TYPE
Ave
City
Stockton
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4950 Pacific Ave
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0535712_4950 PACIFIC_DOUBLE CHECK.tif
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EHD - Public
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Cal-EPA DEPARTMENT OF TOXIC SUBONCES CONTROL <br /> GREY DAVIS,Govemor <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY `"°`' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.WEBER AVENUE,3RD FLOOR <br /> STOCKTON,CA 95202C41 FaRw,. <br /> CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br /> Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> FACILITY NAME: EPA ID NUMBER: L— Coo l Z g�5 <br /> PHYSICAL ADDRESS: ASO -�►^- <br /> FACILITY CONTACT-NAME: PHONE'-7,�Y� 9 � — - <br /> SIC CODE(S): INSPECTION DATE: Z Local# <br /> NOTIFIED UNIT COUNT: PBR CA CESW CESQT CEL TOTAL <br /> CORRECT UNIT COUNT: PBR CA CESW CESQT CEL TOTAL <br /> This checklist and inspection report identify violations of state law regarding onsite treaters of hazardous waste, <br /> operating under an onsite permitting tier. This inspection verifies the information provided on form DTSC 1772. It also covers <br /> generator requirements,although a separate checklist may be used for those requirements. A checkmark indicates violation of <br /> the law,which are explained in more detail on the attached note sheets.The governing laws are the Health and Safety Code <br /> (HSC)and Title 22 of the California Code of Regulations(22 CCR). <br /> Generator Standards: <br /> generator inspection checklist or protocols, which are summarized below. A fitll <br /> Each inspection agency may use their own <br /> d during the verification Inspection, unless serious deficiencies are suspected. <br /> evaluation of each item or document is not conducte <br /> NO <br /> _ 1. Contingency plan has been prepared (adequately minimize releases, has alarm/communication <br /> system, lists emergency equipment and phone numbers for emergency coordinators). <br /> _ 2. Written training documents and records prepared for employees handling hazardous waste. <br /> _ 3. Meet container management standards (storage time limits, closed, labelled, compatibility, <br /> inspected weekly, in good condition, with ignitables/reactives 50 feet from property line). <br /> _ 4. Meet tank management standards (either secondary containment or integrity assessments,plus <br /> storage time limits, labelled, compatibility, inspected daily, in good condition, with <br /> ignitables/reactives 50 feet from property line). <br /> 5. All wastes are properly identified. <br /> Treatment Items—Facility Wide:R CA, and CE are properly indicated on Form DTSC 1772.acility must submit a revised Form 1772 to correct errors or omissions) <br /> any new units <br /> 6. All <br /> with unit sheets or correct tier on the unit sheet.) <br /> _ 7. All generator identification information on Form DTSC 1772 is correct. <br /> _ 8. The submitted plot plan/map adequately shows the location of all regulated units. <br /> _ 9. There are records documenting compliance with sewer agency pretreatment standards and <br /> industrial waste discharge requirements,where applicable. <br /> For CA or PBR notifiers: <br /> waste minimization certification. (PBR submit with renewals.) <br /> 10. The generator has an annual <br /> Rev 3/5/02 <br /> Onsite Checklist(A) <br /> Page 1 of, <br />
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