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SAN 1 O A Q U I N Environmental Health Department <br /> i - GUN - 1Y - <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name : Facility Phone : Date: <br /> iw d 1 i T k n ti-1 Lt ";c t t D, I / 7 9 1 1 0 / 1 P0 <br /> Facility Address : CERS ID: <br /> Inspection Contact: Title : Phone: �j p <br /> iI Vc, utS jgoo <br /> Inspection Type: , Program: <br /> Consent For: Consent Given By: <br /> QNfis ection E Photos ElSamples �, v i <br /> Amount of hazardous waste generated EPA/State ID : <br /> in the last calendar year (Jan-Dec) : G Z <br /> CCR = Title 22 California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations 3y3 <br /> V = Violation R = Repeat violation COS = Corrected on site during inspection <br /> Record Keeping/Documentation <br /> 101 CCR 66262. 12 Managed a hazardous waste without an identification number D V a R n COS <br /> 102 CCR 66262. 11 Failed to determine if a waste is a hazardous waste d V D R D COS <br /> 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years ❑ V n R n COS <br /> 104 CCR 66262. 34(d) (2) No modified contingency plan ❑ V n R ❑ COS <br /> 105 CCR 66262. 34(d)(2) No emergency coordinator D V D R D COS <br /> 106 CCR 66262. 34 (d) (2) Failed to train employees on waste handling and emergency procedures n V n R n COS <br /> 107 CCR 66262. 20 Failed to prepare manifests for transportation of hazardous waste n V n R n COS <br /> 108 CCR 66262. 23 (a) Failed to complete, sign or date manifest; or obtain dated signature of transporter D V o R D COS <br /> 109 CCR 66262. 23(a) (4) Failed to send generator manifest copies to DTSC within 30 days D V a R n COS <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years A V n R n COS <br /> 111 CCR 66262.42(a) (c) (d) Failed to comply with uniform hazardous waste manifest exception requirements %V D R D COS <br /> 112 CCR 66268. 7(a) Failed to make determination for land disposal n V n R n COS <br /> 113 HSC 25160.2(b) (3) Failed to keep copies of consolidated manifesting receipts for three years D V D R D COS <br /> 114 HSC 25160.2(b) (4) Consolidated manifest receipts failed to contain complete information D V D R D COS <br /> 115 CCR 66266. 81 (a)(4) (B) Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years n V ❑ R D COS <br /> 116 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption D V D R D COS <br /> 117 HSC 25185(c) (3) Failed to submit a written response within 30 days of receiving an inspection report D V D R D COS <br /> 118 HSC 25110. 10(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste D V D R D COS <br /> 119 HSC 25404(e) (4) Failed to report program data in the California Environmental Reporting System (CERS) D V D R o COS <br /> 120 HSC 25404. 1 . 2 Failed to submit a certification and written response within 30 days for minor violations D V D R n COS <br /> Treatment, Transport and Disposal <br /> 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration D V D R D COS <br /> 202 HSC 25189. 5(a) Disposed or caused disposal of HW at an unauthorized point D V D R D COS <br /> 203 HSC 25189.5(c) Transported or caused transportation of hazardous waste to an unauthorized point n V o R D COS <br /> 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste DV D R D COS <br /> 205 HSC 25250.7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste ❑ V D RCOS <br /> 206 HSC 25160. 2 (c)(2) Waste stream or generator not eligible to use consolidated manifesting procedure D V D R D COS <br /> FA0002064 PR0518490 SCO03 06/12/2019 <br /> EHD 22-01 Rev. 09/27/2018 Page 1 of 4 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www. sjcehd . com <br />