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SAN ] OAQUIN Environmental Health Department <br /> C o u N F1 Y ---^- <br /> SMALL QUANTITY HAZARDOUS WASTE PROGRAM INSPECTION REPORT <br /> Facility peaFacility Inspection ) <br /> Name: �rC. ' � Phone: Date: i <br /> Address: S3 - 1 W�. "rJ <br /> Facility <br /> 9 Loci 1 ( � " f 5 `24c) DERS <br /> Inspection `� Title: A Gnat /pho-Yn <br /> Contact: ` 1`� l A l6" <br /> Inspection J Program: <br /> Type: r "[ <br /> Consent Given For: Consent <br /> Inspection Photos Sampli g Given By: <br /> Amount of Hazardous Waste Generated EPA ID: �+ /� � � <br /> In the Last Calendar Year (Jan-Dec): AUX)O '~ t � <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 ins ection <br /> Record Keeping/Documentation V R COS ' <br /> 101 CCR 66262 . 12 Manage 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 lretain hazardous waste determination including waste analysis on site for 3 years (V879) ❑ ❑ ❑ <br /> 104 CCR 66262. 34(d)(2) No modified contingency plan (V299) ❑ ❑ ❑ <br /> 105 CCR 66262 .34(d) (2) No emergency coordinator (V311 ) ❑ 1 ❑ ❑ <br /> 106 CCR 66262 . 34(d) (2) Failed to train employees on waste handling and emergency procedures (V242) ❑ ❑ ❑ <br /> 107 CCR 66262. 20 Failed to 1prepare manifests for transportation of hazardous waste (V243) ❑ ❑ ❑ <br /> 108 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter (V239) ❑ ❑ ❑ <br /> 109 CCR 66262.23(a) (4) Failed to send generator manifest copies to DTSC within 30 days (V246) ❑ ❑ 1 ❑ <br /> 110 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years (V241 ) (A -ot <br /> ❑ <br /> CAI It r <br /> 111 66262 ,42(ac d Failed to ;comply with uniform hazardous waste manifest exception requirements (V244) ❑ ❑ ❑ <br /> 112 CCR 66268.7(a) Failed to make determination for land disposal (V252) ❑ ❑ ❑ <br /> 113 NSC 25160.2 (b) (3) Failed to keep copies of consolidated manifesting receipts for three years (V248) <br /> a4 &I ❑ <br /> 114 HSC 25160. 2(b)(4) Consolidated manifest receipts failed to contain complete information (V841 ) ❑ o ❑ <br /> CCR <br /> 115 6 266 .81 a 4 B Failedto retain copy of manifest or bill of lading for spent lead acid batteries for 3 years (V250) ❑ ❑ ❑ <br /> 116 HSC 25143 . 10 Failed to ':provide information for > 100 kg/mo recyclable material to claim the exclusion or exemption (V253) ❑ ❑ ❑ <br /> 117 HSC 25185(c) (3) Failed to submit a written response within 30 days of receiving an inspection report (V799) (Uh I ❑ ❑ <br /> 118 HSC 25110A0(d) Failure tq annually submit notification of generator intent to remotely consolidate hazardous waste (V898) ❑ ❑ ❑ <br /> 119 HSC 25404(e)(4) Failed to report program data electronically (V919) ❑ ❑ ❑ <br /> Treatment, Transpott andDisposal 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 /> 203 HSC 25189. 5(c) Transported or caused transportation of hazardous waste to an unauthorized point (V786) ❑ ❑ ❑ <br /> 204 HSC 25201 (a) Failed to obtain a permit to treat hazardous waste (V760) ❑ ❑ ❑ <br /> 205 HSC 25250. 7 Failed to manage used oil contaminated with other hazardous waste as hazardous waste (V278) ❑ ❑ ❑ <br /> 206 NSC 25160. 2(c) (2) Waste stream or generator not eligible to use consolidated manifesting procedure (V842) ❑ ❑ o <br /> 207 HSC 25144. 6(b) Failure to properly manage reusable soiled textile materials (V882) ❑ ❑ ❑ <br /> 208 HSC 25200 .3 . 1 (c) Failure of laboratory to comply with hazardous waste treatment requirements (V920) ❑ ❑ ❑ <br /> 209 CCR 66262 . 34 (d) (2) Failure to remove all hazardous waste from tanks , containers and containment upon facility closure (V921 ) o ❑ ❑ <br /> Received Inspector: ,/ 1�� Inspector / 0� <br /> By (initial): � 1 (ti �j!'1 G9 `�IP0 (� � T/� Phone: ( � <br /> EHD 22-01 REV 11 /02/17 Page 1 HW SQG INSPECTION REPORT <br /> 1868 E . Hazelton Avenue' ( Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www . sjcehd . com <br />