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Company Name: Inspected by: Environment otection Division • Certified UnijieA. 1grain Agency Address: Date: Refer to Title 19, 22, & 23 of the California Code of Regulations (CCR), Chapters 6.5, 6.7, 6.67, & 6.95 of the Health and Safety Code (CHSC). The following Code selections are either in Violation (V) of, or in Compliance (C). or compliance is Not Annlicable (N). HAZARDOUS WASTE TREATMENT FACILITY INSPECTION REPORT ALL:'HAZARDOUSWASTE TREATMENT'1t'ACILITIES" < NARRATIVE/COMMENTS 1. Submit notification form and plot plan/map 60 days before hazardous CHSC 25200.3 waste treatment begins. CHSC 25201.5 CCR 67450.2(b) CCR 67450.2(b) CHSC 25200.3(e)(3) 2. Correctly identify all generator information on the notification form. CHSC 25201.5(d)(7) CHSC 25201.14(c)(2) CHSC 25144.6(c)(6) CHSC 25200.3(k) 3. Amend the notification to reflect changes from the latest forms submitted. CHSC 25201.5(i) CCR 67450.3(c)(4) CHSC 25201.5(c) 4. The treatment technology is authorized. CHSC 25200.3(b)(3) CCR 67450.3(c)(4) CONDITIONALLY EXEMPT ; u�'�' .. N rMr�� 1. Prepare and maintain written operating instructions and a record of the CHSC 25201.5(d)(3) dates, amounts, and types of waste treated for 3 years. CHSC 25201.5(d)(5) 2. Prepare and maintain a written inspection schedule and log of inspections CHSC 25201.5(d)(4) conducted for 3 years. CHSC 25201.5(d)(5) 3. Remove or decontaminate all waste residues and systems, soils, etc. contaminated with hazardous waste and provide written notification upon CHSC 25201.5(d)(8) com letion of all activities. 4. Ancillary equipment of tanks or containers treating hazardous waste must CHSC 25201.5(e) be tested every two years if there is not secondary containment. CCR 66265.191 BOTH CONDITIONALLY ADTHOIUZED/PERMTT-BY RULE 1. Hazardous Waste Treatment Area Control: CCR 66265.17(a) ■ Sign posted "Danger Hazardous Waste Area - Keep Out" CCR 67450.3(c)(9)(A) • Access to entry point controlled at all times CHSC 25200.3(c)(1) 2. Complete the Tiered Permitting Phase I Environmental Assessment CHSC 25200.14(a)(1) Checklist (DTSC form 1151). CHSC 25200.3(c)(3) 3. Submit financial assurance (when required) for closure and a Certification CHSC 25245.4(b)(1)(B) of Financial Assurance form. CCR 67450.13(a) 4. Adjust the closure cost estimate for inflation by March of each year. CCR 67450.13(a)(2) CONDITIONALi,YAUTtIQWZEV'ONI Y'",' 1. Certify annually that a program has been established to reduce the volume CHSC 25200.3(c)(2)or quantity and toxicity of hazardous waste to the degree deemed CHSC 25202.9 economical) practicable b the generator. CHSC 25200.3(cX4) 2. Maintain the hazardous waste area containment system to be free of cracks CCR 66264.175(a) or gaps, and be impervious to leaks, spills, and accumulated precipitation. CCR 66264.115(b)(1) 3. Remove spills, leaks, or accumulated precipitation from containment area CHSC 25200.3(c)(4) in a timely manner. CCR 66264.175(b)(5) 4. Ancillary equipment, without secondary containment, must be integrity CHSC 25200.3(c)(4)(A) tested every two years. CCR 66265.191 5. Prepare and maintain a written inspection schedule and a log of inspections CCR 66262.34(d)(2) conducted. 6. Treat only hazardous waste generated onsite. CHSC 25200.3(c)(8) PBR ONLY,-, " 1. Label exterior of each FTU. CCR 67450.3(c)(7) 2. Provide the waste analysis plan {CCR 66265.13(b)). CCR 674503(cx8)(A) 3. Provide written inspection schedule (CCR 66265.15(b)). CCR 67450.3(cx8)(B) 4. Provide a co2y of the closure plan {CCR 67450.3(c)(I 1)(13)). CCR 67450.3(c)(8)(G) 5. Failure to prepare/submit annual re ort requested by CUPA. CCR 67450.3(c)(10) CLOSURE REQUIREMENTS FOR 6. Failure to remove hazardous waste within 90 days of treating the final CCR 67450.3(c)(l1)(D) volume. 7. Failure to complete closure activities within 180 days of final hazardous CCR 67450.3(c)(I 1)(E) waste removal. 8. Failure to notify the CUPA 15 da s before the completion of closure. CCR 67450.3(c)(l 1)(F) 9. Failure to submit a closure certification signed by the o/o and a P.E. CCR 67450.3(c)(I 1)(G) Number of TP on file: FTU's On-site during inspection: PBR CA - CESW _ CESQT _ CEL- CE -CL- TOTAL _ PBR _ CA- CESW _ CESQT _ CEL_ CE -CL -TOTAL-