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SAN}10AQUIN <br />COUNTY <br />Environmental Health Department <br />eceive (signat e • <br />�� I" �4-u 1 Rcv 1 uu41 it <br />SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br />V <br />Facility-�l <br />Name: (m (U �' I <br />Facility Inspection <br />Address:I2% <br />Date: <br />3010 <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(1) <br />Failed to properly manage containers of waste aerosol cans (V328) <br />❑ <br />❑ <br />❑ <br />709 <br />HSC 25201.16(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 />330 <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 handier 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 />Appliance Recycler <br />V <br />R <br />COS <br />801 <br />HSC 25211 A <br />Failure to obtain Certified Appliance Recycler certification (CAR) (V886) <br />❑ <br />❑ <br />❑ <br />802 <br />HSC 25211.2, <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 />803 <br />HSC 25212 <br />Failure of a CAR to properly remove and dispose of all materials that require special handling (V923) <br />❑ <br />❑ <br />❑ <br />eceive (signat e • <br />�� I" �4-u 1 Rcv 1 uu41 it <br />Other Violations <br />V <br />R <br />COS <br />3010 <br />See below <br />Unlisted Administration/Documentation violation (V263) <br />❑ <br />❑ <br />❑ <br />3020 <br />See below <br />Unlisted Training violation (V262) <br />❑ <br />❑ <br />❑ <br />3030 <br />See below <br />Unlisted Operations/Maintenance violation (V266) <br />❑ <br />❑ <br />n <br />3040 <br />See below <br />Unlisted Release/Leaks/Spills violation (V264) <br />❑ <br />❑ <br />❑ <br />3050 <br />See below <br />Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation (V265) <br />❑ <br />❑ <br />❑ <br />eceive (signat e • <br />�� I" �4-u 1 Rcv 1 uu41 it <br />Title: <br />Date: <br />Receive by (pnnte name): <br />Inspe <br />Inspector p, ne: <br />K\ <br />ROA, <br />wukw 0 �u <br />.. -rage 3 HW SQG INSPECTION REPORT <br />