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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br />Facility i 11 <br />Name: / �(/ <br />Facility /J <br />Address: /j <br />R <br />Ins ection <br />Date: 6 <br />Received by (signature): Titl <br />Universal Waste <br />V <br />R <br />COS <br />707 <br />HSC 25201.16(e) <br />Failed to manage aerosol cans in a manner that prevents the unauthorized release of waste (V325) <br />❑ <br />❑ <br />❑ <br />708 <br />HSC 25201.16(f) <br />Failed to properly manage containers of waste aerosol cans (\1328) <br />❑ <br />❑ <br />❑ <br />709 <br />HSC 25201a16(g) <br />Failed to store used aerosol cans in an accumulation container (V801) <br />❑ <br />❑ <br />❑ <br />710 <br />HSC 25201.16(h)(4) <br />No written operating procedure for aerosol can processing (V826) <br />❑ <br />❑ <br />❑ <br />711 <br />HSC 25201.160) <br />Failed to submit or amend notification for aerosol can processing (V828) <br />❑ <br />❑ <br />❑ <br />712 <br />CCR 66273.34 <br />Failed to label universal waste to identify type of universal waste (V321) <br />❑ <br />❑ <br />❑ <br />713 <br />CCR 66273.35 <br />Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored <br />❑ <br />❑ <br />❑ <br />714 <br />CCR 66273.36 <br />Failed to train employees and maintain records on UW handling and emergency procedures (V318) <br />❑ <br />❑ <br />❑ <br />715 <br />CCR 66273.39 <br />Failed to keep complete records of each shipment of universal waste for three years (V784) <br />❑ <br />❑ <br />❑ <br />716 <br />CCR 66273.40(a)(4) <br />UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification (V333) <br />❑ <br />❑ <br />❑ <br />717 <br />CCR 66273.32(b) <br />Failed to obtain an ID number from DTSC prior to accumulating >5000kg of non-RCRA UW (315) <br />❑ <br />❑ <br />❑ <br />718 <br />CCR 66273.32(d) <br />Failure of a UW handler to submit a complete annual report to DTSC (V331) <br />❑ <br />❑ <br />❑ <br />719 <br />CCR 66273.38 <br />Failure of UW handler to transfer UW to the appropriate destination facility (V320) <br />❑ <br />❑ <br />❑ <br />Received by (signature): Titl <br />Appliance Recycler <br />V <br />R <br />COS <br />801 <br />HSC 25211.4 <br />Failure to obtain Certified Appliance Recycler certification (CAR) (V886) <br />❑ <br />❑ <br />❑ <br />802 <br />HSC 25211.21 <br />25211.3 <br />Failure of a CAR to provide docs that materials that require special handling have been removed (V887) <br />❑ <br />❑ <br />❑ <br />803HSC <br />25212 <br />Failure of a CAR to properly remove and dispose of all materials that require special handling (V923) <br />❑ <br />❑ <br />❑ <br />Received by (signature): Titl <br />e: <br />�� I"Y�GI,nC c <br />Date: <br />� 3 C� � ► � <br />Other Violations <br />V <br />R <br />COS <br />3010 <br />See below <br />Unlisted <br />Administration/Documentation violation (V263) <br />❑ <br />❑ <br />❑ <br />3020 <br />See below <br />Unlisted <br />Training violation (V262) <br />❑ <br />❑ <br />❑ <br />3030 <br />See below <br />Unlisted <br />Operations/Maintenance violation (V266) <br />❑ <br />❑ <br />❑ <br />3040 <br />See below <br />Unlisted <br />Release/Leaks/Spills violation (V264) <br />❑ <br />❑ <br />❑ <br />3050 <br />See below <br />Unlisted <br />AbandonmentiIllegal Disposal/Unauthorized Treatment violation (V265) <br />❑ <br />❑ <br />❑ <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply, <br />vv <br />D <br />` unwCuAl <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT <br />CURRENT HOURLY RATE. <br />HOURLY RATE. <br />tHD 22-01 RM 11/02/17 Fable <br />e: <br />�� I"Y�GI,nC c <br />Date: <br />� 3 C� � ► � <br />Received ( i4ied na ):Ilnspector: <br />Lod <br />Inspector ph(on�e: � �� <br />*? � <br />3 HW SOG INSPECTION REPORT <br />