Laserfiche WebLink
Cal-EPA DEPARTMENT OF TOXIC SU' 'ANCES CONTROL Arnold Schwarzenegger, Governor <br /> 'SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN ST. X ' <br /> STOCKTON, CA 95202-3029 <br /> �LIF001 <br /> CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br /> Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> SIGNATURE SHEET <br /> Onsite Recycling: Only answer if this facility recycles more than 100 kilograms/month of hazardous waste onsite. <br /> NO <br /> 27. The appropriate local agency has been notified. HSC 25143.10 <br /> 28. Activities claimed under the onsite recycling exemption are appropriate. HSC 25143.2 et sec. <br /> Releases: <br /> YES <br /> 29. Within the last three years, were there any unauthorized or accidental releases to the <br /> environment of hazardous waste or hazardous waste constituents from onsite treatment units? <br /> _ 30. Within the last three years, were there any unauthorized or accidental releases to the <br /> environment of hazardous waste or hazardous waste constituents from any location at this <br /> facility? <br /> For purposes of a Tiered Permitting inspection, a release to the environment is unauthorized or <br /> accidental and does not include spills contained within containment systems. <br /> Source Reduction: <br /> _ 31. Generator was subject to SB 14 OR SB 1796 and failed to prepare and retain current source <br /> reduction documents, as applicable, and make them available to the inspector within (5) days. A <br /> checklist or plan is required only if annual hazardous waste volume is overr 5,000 kilograms (approximately 11,000 <br /> pounds or 1,350 gallons). <br /> _ 32. Source Reduction Evaluation Review and Plan failed to contain, at a minimum, the following <br /> five required elements: certification, amounts of wastes generated, process description, block <br /> diagrams, and implementation schedule of selected source reduction measures. <br /> This report may identify conditions observed this date that are alleged to be violations of one or more sections of the <br /> California Health and Safety Code (HSC) or the California Code of Regulations, Title 22 (22 CCR) relating to the management <br /> of hazardous waste. The violations may be described in more detail on the attached note sheets. If any violations are noted, the <br /> facility is required to submit a signed Certification of Return to Compliance within 30 days, unless otherwise specified. (A <br /> certification form is provided.) If any corrections are needed to the initial notification, the facility will submit a revised <br /> notification within 30 days to the Department of Toxic Substances Control with a copy to the local enforcement agency. DTSC <br /> or the local enforcement agency may reinspect, at any time, to verify compliance with this Notice to Comply. <br /> Inspector(s): <br /> Lead Inspector: Other Inspector: <br /> Signature: W r dprtfY1) Signature: <br /> Print Name: M _r N Print Name: <br /> Title: S „f (LC✓l;}-S1 it e: <br /> Agency: _;- w gency: <br /> Phone Number: t'Zej) %�6I - 14- Phone Number: <br /> Facility Representative: <br /> Your signatur cknowle receipt of this report and does not imply agreement with the findings. <br /> Signature: Print Name: (,l <br /> Title: a F oma, Date: �7 Q <br /> ?= 1 n <br /> Onsite Checklist (C) Page -3 of —T Rev 06/08/07 <br />