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Cal-EPA DEPARTMENT OF TOXIC SUBr! NCES CONTROL GREY DAVIS,Governor <br /> SAN JOAQUIN COUNTY UNIFIED PROGRAM AGENCY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ; <br /> 304 E.WEBER AVENUE,3RD FLOOR >_ <br /> STOCKTON,CA 95202 <br /> CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br /> Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> FACILITY NAME: rr�v�r C � �� I�aIS EPA ID NUMBER: <br /> rp <br /> PHYSICAL ADDRESS: <br /> FACILITY CONTACT-NAME: INSPECTION DATE: Local# <br /> SIC CODE(S): <br /> NOTIFIED UNIT COUNT: PBR_ CA_ CESW_ E ST Q V CEL_ TOTAL <br /> CEL TOTAL <br /> CORRECT UNIT COUNT: PBR— CA_ CESW_ Q <br /> This checklist and inspection report identify violations of state law regarding onsite treaters of hazardous waste, <br /> operating under an onsite permitting tier. This inspection verifies the information provided on form DTSC 1772. It also covers <br /> generator requirements,although a separate checklist may be used for those requirements. A checkmark indicates violation of <br /> the law,which are explained in more detail on the attached note sheets.The governing laws are the Health and Safety Code <br /> (HSC)and Title 22 of the California Code of Regulations (22 CCR). <br /> Generator Standards: <br /> rotor inspection checklist or protocols, which are summarized below. A jul <br /> Each inspection agency may,use their own gene <br /> evaluation of each item or document is not conducted during the Verification Inspection, unless serious deficiencies are suspected. <br /> NO <br /> 1. Contingency plan has been prepared(adequately minimize releases, has alarm communication <br /> _ <br /> system, lists emergency equipment and phone numbers for emergency coordinators). <br /> 2. Written training documents and records prepared for employees handling hazardous waste. <br /> _ 3. Meet container management standards (storage time limits, closed, labelled, compatibility, <br /> inspected weekly, in good condition,with ignitables/reactives 50 feet from property line). <br /> _ 4. Meet tank management standards (either secondary containment or integrity assessments,plus <br /> storage time limits, labelled, compatibility, inspected daily, in good condition, with <br /> ignitables/reactives 50 feet from property line). <br /> _ 5. All wastes are properly identified. <br /> Treatment Items-Facility Wide: (Facility must submit a revised Form 1771 to correct errors or omissions) <br /> _ (. All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new units <br /> with unit sheets or correct tier on the unit sheet.) <br /> _ 7_ All generator identification information on Form DTSC 1772 is correct. <br /> _ g. The submitted plot plan/map adequately shows the location of all regulated units. <br /> _ 9. There are records documenting compliance with sewer agency pretreatment standards and <br /> industrial waste discharge requirements,where applicable. <br /> For CA or PBR notiffers: <br /> 10. The generator has an annual waste minimization certification. (PBR submit with renewals. <br /> Rev 3/5/0 <br /> Onsite Checklist(A) Page 1 of <br />