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j A N Q A ( (� Environmental Health Department <br /> COUN � Y-- <br /> � ; Greatness grows here.. <br /> RCRA LARGE QUANTITY HAZARDOUS WASTE GENERATOR INSPECTION REPORT <br /> Facility Facility Inspection � / <br /> Name: Ta l Phone: Date: 1 J l-24 1 <br /> FacilityT�1 �� ` CDERS <br /> Address:Insecti11 1. v l r► <br /> Contact�n �� � �•- �' Title: t5Ke�� Team Leg PIC ! r <br /> Inspection Program: ` � <br /> Type: <br /> Consent Given For: Consent "j� � -; ��o � •��,O7Y � �+ <br /> Inspection Photos iiSampling Given By: v t�U (yam J <br /> Amount of Hazardous Waste Generated _ EPA ID: � dt,� OryT`� n 1 � (,1f n <br /> In the Last Calendar Year (Jan-Dec): & • L" 4 '� S 1 V1Z Coo !JI _ 1 (jE' <br /> CCR = California Code of Regulations HSC = Health and Safety Code CFR = Code of Federal Regulations <br /> V = Violation R = Repeat COS = Corrected on site during inspection <br /> Record Keeping/Documentation V R COS <br /> 101 CCR 66262. 12 Managed a hazardous waste without an identification number (V358) ❑ ❑ ❑ <br /> 102 CCR 66262. 11 Failed to determine if a waste is a hazardous waste (V359) ❑ ❑ ❑ <br /> 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years (V879) ❑ ❑ ❑ <br /> 104 HSG 25244* 191 Failed to adequately complete a Source Reduction plan and have it available for review (V377) ❑ ❑ ❑ <br /> 25244.21 <br /> 105 CCR 66262.40(b) , Failed to submit Biennial Report to DTSC or retain onsite for three years (V376) ❑ ❑ ❑ <br /> 66262.41 <br /> 106 CCR 67100.70 Failed to conduct a Source Reduction review and plan every four years , when required (V378) ❑ ❑ ❑ <br /> 67100. 8 <br /> 107 CCR 67100. 9 Failed to prepare and submit a Summary Progress Report every four years (V373) ❑ ❑ ❑ <br /> 108 CCR 66265.51 Failed to prepare and implement a contingency plan (V368) ❑ ❑ ❑ <br /> 109 CCR 66265.52 Contingency plan is incomplete (V369) ❑ ❑ ❑ <br /> 110 CCR 66265.53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies (V370) ❑ ❑ ❑ <br /> 111 CCR 66265.54 Contingency plan not current (V825) ❑ ❑ ❑ <br /> 112 CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste (V360) ❑ ❑ ❑ <br /> 113 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter (V363) ❑ ❑ ❑ <br /> 114 CCR 66262 .23(a)(4) Failed to send generator manifest copies to DTSC within 30 days (V361 ) ❑ ❑ <br /> 115 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years (V365) ❑ ❑ ❑ <br /> 116 CCR 66262.42 Failed to comply with uniform hazardous waste manifest exception requirements (V364) ❑ ❑ ❑ <br /> 117 CCR 66268. 7(a) Failed to make determination for land disposal (V362) ❑ ❑ ❑ <br /> 118 CCR 66265. 16(a-c) Failed to compete training on hazardous waste management and emergency procedures (V367) PC ❑ ❑ <br /> 119 CCR 66265. 16(d) Failed to maintain complete personnel training records (V831 ) ❑ ❑ ❑ <br /> 120 HSC 25160.2(b) (3) Failed to keep copies of consolidated manifesting receipts for three years (V765) ❑ ❑ ❑ <br /> 121 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information (V843) ❑ ❑ ❑ <br /> 122 66266.81 (a4 B Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years (V766) ❑ ❑ ❑ <br /> 123 HSC 25143. 10 Failed to provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption (V764) ❑ ❑ ❑ <br /> 124 HSC 25185(c) (3) Failed to submit a written response within 30 days of receiving an inspection report (V800) ❑ ❑ ❑ <br /> 125 HSC25110. 10(d) Failure to annually submit notification of generator intent to remotely consolidate hazardous waste (V898) ❑ ❑ ❑ <br /> 126 HSC 25404(e) (4) Failed to report program data electronically (V927) ❑ ❑ ❑ <br /> 127 CCR 66265.55, Failure to have an emergency coordinator available to respond to an emergency (V925) ❑ ❑ ❑ <br /> 66262 .34(a)(4) <br /> Treatment, Transport, and Disposal V R COS <br /> 201 HSC 25163(a) Transported or transferred hazardous waste to a transporter without valid registration (V366) ❑ ❑ ❑ <br /> Received <br /> Inspector., • Inspectorn ) LOW <br /> Binitial : 1l16� ot Phone: r�ff 3 <br /> EHD 22-03 REV 11/03/2017 Page 1 HW RCRA INSPECTION REPORT <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 F 209 464- 0138 1 www . sjcehd . com <br />