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SANAMUIN <br />.., COUNTY <br />t� Greotness grows here. <br />• <br />Environmental Health Department <br />Received Inspectory,(/� f\ ►�� Phoneto <br />By (initial): �'` ���C Phone: <br />EHD 22-02 REV 11/15/2017 Page 1 HW LQG INSPECTION REPORT <br />1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />..gin atm nta a <br />201 HSC 25163(a) <br />101 <br />!� <br />�'rn' <br />Facility/J�, <br />� � �11 <br />Inspection <br />1 <br />Name: 1 1 ' <br />Phone: <br />Dateit ?t7b i to <br />Facility � qU 1� <br />��CC <br />U12-1 <br />❑ ❑ <br />Address: X71 ` ^-(� <br />CCR 66262.40(c) <br />ID: <br />ID: <br />Inspection M <br />Contact: I , 1 <br />` i� <br />1(�J(,j,r" <br />Title,, � <br />P <br />^— <br />Inspection cj� , A �, <br />❑ <br />Program: �` <br />105 <br />� r <br />Type: fVL�,j i VCS <br />Failed to conduct a Source Reduction review and plan every four years, when required (V254) <br />❑ <br />❑ ❑ <br />Consent Given F� <br />Consent ►.�,-� /� <br />I <br />Failed to prepare and submit a Summary Progress Report every four years (V255) <br />Inspection`O Photos Sampling <br />Given By:� <br />107 <br />CCR 66265.51 <br />Amount of Hazardous Waste Generated <br />❑ <br />E A I <br />108 <br />In the Last Calendar Year (Jan -Dec): <br />Contingency plan is incomplete (V240) <br />K <br />❑ ❑ <br />CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regula ons <br />CCR 66265.53 <br />Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies (V238) <br />V = Violation R = Repeat COS = Corrected on site during inspection <br />Received Inspectory,(/� f\ ►�� Phoneto <br />By (initial): �'` ���C Phone: <br />EHD 22-02 REV 11/15/2017 Page 1 HW LQG INSPECTION REPORT <br />1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />..gin atm nta a <br />201 HSC 25163(a) <br />101 <br />CCR 66262.12 <br />Managed a hazardous waste without a valid EPA ID number (V236) <br />❑ <br />❑ Cl <br />102 <br />CCR 66262.11 <br />Failed to determine if a waste is a hazardous waste (V251) <br />r <br />❑ ❑ <br />103 <br />CCR 66262.40(c) <br />Failed to retain hazardous waste determination including waste analysis on site for 3 years(V879) <br />❑ <br />❑ ❑ <br />104 <br />HSC 25244.19, <br />25244.21 <br />Failed to adequately complete a Source Reduction plan and have it available for review (V257) <br />❑ <br />❑ ❑ <br />105 <br />CCR 67100.7, <br />67100.8 <br />Failed to conduct a Source Reduction review and plan every four years, when required (V254) <br />❑ <br />❑ ❑ <br />106 <br />CCR 67100.9 <br />Failed to prepare and submit a Summary Progress Report every four years (V255) <br />❑ <br />❑ ❑ <br />107 <br />CCR 66265.51 <br />Failed to prepare and implement a contingency plan (V237) <br />❑ <br />❑ 1 ❑ <br />108 <br />CCR 66265.52 <br />Contingency plan is incomplete (V240) <br />K <br />❑ ❑ <br />109 <br />CCR 66265.53 <br />Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies (V238) <br />❑ <br />❑ ❑ <br />110 <br />CCR 66265.54 <br />Contingency plan not current (V824) <br />❑ <br />❑ ❑ <br />111 <br />CCR 66262.20 <br />Failed to prepare manifests for transportation of hazardous waste (V243) <br />❑ <br />❑ ❑ <br />112 <br />CCR 66262.23(a) <br />Failed to complete, sign or date manifest; or obtain dated signature of transporter (V239) <br />❑ <br />❑ ❑ <br />113 <br />CCR 66262.23(a)(4) <br />Failed to send generator manifest copies to DTSC within 30 days (V246) <br />❑ <br />1 ❑ 1 ❑ <br />114 <br />CCR 66262.40(a) <br />Failed to keep signed copy of manifests from the designated facility for three years (V241) <br />❑ ❑ <br />115 <br />CCR 66262.42(ab d <br />Failed to comply with uniform hazardous waste manifest exception requirements (V880) <br />❑ 11 <br />116 <br />CCR 66268.7(a) <br />Failed to make determination for land disposal (V252) <br />❑ <br />❑ ❑ <br />117 <br />CCR 66265.16(a -c) <br />Failed to complete training on hazardous waste management and emergency response procedures (V245) <br />❑ <br />❑ ❑ <br />118 <br />CCR 66265.16(d) <br />Failed to maintain complete personnel training records (V830) <br />❑ <br />❑ ❑ <br />119 <br />HSC 25160.2(b)(3) <br />Failed to keep copies of consolidated manifesting receipts for three years (V248) <br />❑ ❑ <br />120 <br />HSC 25160.2(b)(4) <br />Consolidated manifest receipts failed to contain complete information (V841) <br />❑ <br />❑ ❑ <br />121 <br />CCR 66266.81(a 4 B <br />Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years (V250) <br />❑ <br />11 El <br />122 <br />HSC 25143.10 <br />Failed to provide information for >100 kg/mo recyclable material to claim the exclusion or exemption (V253) <br />❑ <br />❑ ❑ <br />123 <br />HSC 25185(c)(3) <br />Failed to submit a written response within 30 days of receiving an inspection report (V799) <br />❑ <br />❑ ❑ <br />124 <br />HSC 25110A0(d) <br />Failed to annually submit notification of generator intent to remotely consolidate hazardous waste (V881) <br />❑ <br />❑ ❑ <br />125 <br />HSC 25404(e)(4) <br />Failed to report program data electronically (V919) <br />❑ <br />❑ ❑ <br />126 <br />CCR 66265.55, <br />66262.34(a)(4) <br />Failure to have an emergency coordinator available to respond to an emergency (V925) <br />❑ <br />❑ ❑ <br />Received Inspectory,(/� f\ ►�� Phoneto <br />By (initial): �'` ���C Phone: <br />EHD 22-02 REV 11/15/2017 Page 1 HW LQG INSPECTION REPORT <br />1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />201 HSC 25163(a) <br />Transported or transferred hazardous waste to a transporter without valid registration (V297) <br />❑ ❑ <br />❑ <br />202 HSC 25189.5(a) <br />Disposed or caused disposal of HW at an unauthorized point (V298) <br />❑ ❑ <br />❑ <br />Received Inspectory,(/� f\ ►�� Phoneto <br />By (initial): �'` ���C Phone: <br />EHD 22-02 REV 11/15/2017 Page 1 HW LQG INSPECTION REPORT <br />1868 E. Hazelton Avenue Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />