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SAN 10AQUIN Environmental Health Department <br /> COUNTY <br /> Grpotness grows here. <br /> LARGE QUANTITY HAZARDOUS WASTE GENERATOR PROGRAM INSPECTION REPORT <br /> Facility Fa <br /> �r cility Inspection <br /> Name: Phone: Date: r (� <br /> Facility CERS <br /> Address; C ID: <br /> Inspection Title: Phone: <br /> Contact:. N 4 Qom" <br /> Inspection Program:ZZ 7- 5 <br /> <. <br /> Type: <br /> Consent Given For. Consent <br /> Inspection hotos ❑ Sampling Given By: <br /> Amount of Hazardous Waste Generated EPA I <br /> In the Last Calendar Year(Jan-Dec): <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 a valid EPA ID number(V236) ❑ ❑ ❑ <br /> 102 CCR 66262.11 Failed to determine if a waste is a hazardous waste(V251) ❑ ❑ <br /> 103 CCR 66262.40(c) Failed to retain hazardous waste determination including waste analysis on site for 3 years(V879) ❑ ❑ ❑ <br /> 104 HSC 25244.19, Failed to adequately complete a Source Reduction plan and have it available for review(V257) ❑ ❑ ❑ <br /> 25244.21 <br /> 105 CCR 67100.71 Failed to conduct a Source Reduction review and plan every four years,when required(V254) 11 ❑ ❑ <br /> 67100.8 <br /> 106 CCR 67100.9 Failed to prepare and submit a Summary Progress Report every four years(V255) ❑ ❑ ❑ <br /> 107 CCR 66265.51 Failed to prepare and implement a contingency plan(V237) ❑ ❑ ❑ <br /> 108 CCR 66265.52 Contingency plan is incomplete(V240) ❑ ❑ ❑ <br /> 109 CCR 66265.53 Failed to maintain a hazardous waste contingency plan onsite and submit to required agencies(V238) ❑ ❑ ❑ <br /> 110 CCR 66265.54 Contingency plan not current(V824) ❑ ❑ ❑ <br /> 111 j CCR 66262.20 Failed to prepare manifests for transportation of hazardous waste(V243) ❑ ❑ 1 ❑ <br /> 112 CCR 66262.23(a) Failed to complete,sign or date manifest;or obtain dated signature of transporter(V239) ❑ ❑ ❑ <br /> 113 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days(V246) ❑ ❑ ❑ <br /> 114 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years(V241) ❑ ❑ ❑ <br /> 115 CCR 66262.42(ab d Failed to comply with uniform hazardous waste manifest exception requirements(V880) ❑ 1:10 <br /> 116 CCR 66268.7(a) Failed to make determination for land disposal(V252) ❑ ❑ ❑ <br /> 117 CCR 66265.16(a-c) Failed to complete training on hazardous waste management and emergency response procedures(V245) ❑ ❑ ❑ <br /> 118 CCR 66265.16(d) Failed to maintain complete personnel training records(V830) ❑ ❑ ❑ <br /> 119 HSC 25160.2(b)(3) Failed to keep copies of consolidated manifesting receipts for three years(V248) ❑ ❑ ❑ <br /> 120 HSC 25160.2(b)(4) Consolidated manifest receipts failed to contain complete information(V841) ❑ ❑ ❑ <br /> 121 CCR 66266.81(a 4 B Failed to retain copy of manifest or bill of lading for spent lead acid batteries for 3 years(V250) ❑ 11 11 <br /> 122 HSC 25143.10 Failed to provide information for>100 kg/mo recyclable material to claim the exclusion or exemption(V253) ❑ ❑ ❑ <br /> 123 HSC 25185(c)(3) Failed to submit a written response within 30 days of receiving an inspection report(V799) ❑ ❑ ❑ <br /> 124 HSC 25110.10(d) Failed to annually submit notification of generator intent to remotely consolidate hazardous waste(V881) ❑ ❑ ❑ <br /> 125 HSC 25404(e)(4) Failed to report program data electronically(V919) ❑ ❑ ❑ <br /> 126 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(V297) ❑ ❑ ❑ <br /> 202 HSC 25189.5(a) Disposed or caused disposal of HW at an unauthorized point(V298) ❑ ❑ ❑ <br /> Received Inspector: Inspector <br /> By(initial): ,1 Phone: <br /> EHD 22-02 REV 11/15/2017 Page 1 HW LQG INSPECTION REPORT <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />