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STATE OF CALIFORNIA-ENVIRONMEN— PROTECTION AGENCY PETE WILSON, Governor <br /> DEPARTMENT OF TOXIC SUBS__ACES CONTROL <br /> REGION 1--10151 Croydon Way, Suite 3 <br /> Sacramento, CA 95827 <br /> CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR <br /> Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers <br /> UNIT SHEET <br /> Complete one unit sheet for each unit either listed in the notification or identified during the inspection. <br /> Unit Number: 5 5 Unit Name: Lv a� inn <br /> Notified Tier: p 9 R- Correct Tier: <br /> Notified Device Count: Tanks Containers <br /> Correct Device Count: Tanks 2Q Containers <br /> For each Unit: <br /> NO <br /> 12. All hazardous wastes treated are generated onsite. <br /> 13. The unit notification is accurate as to the number of tank(s) and/or container(s). <br /> 14. The estimated notification monthly treatment volume is appropriate for the indicated tier. <br /> 15. The waste identification/evaluation is appropriate for the tier indicated. <br /> 16. The wastestream(s) given on the notification form are appropriate for the tier. <br /> 17. The treatment process(es) given on the notification form are appropriate for the tier. <br /> 18. The residuals management information on the form is correct and documented for the unit. <br /> 19. The indicated basis for not needing a federal permit on the notification form is correct. <br /> 20. There are written operating instructions and a record of the dates, volumes, residual <br /> management, and types of wastes treated in the unit. <br /> 21. There is a written inspection schedule (containers-weekly and tanks-daily). <br /> 22 There is a written inspection log maintained of the inspections conducted. <br /> 23. If the unit has been closed, the generator has notified DTSC and the local agency of the <br /> closure. <br /> For each CA or PBR unit: <br /> 24. The generator has secondary containment for treatment in containers. <br /> For each PBR unit: <br /> 25. There is a waste analysis plan <br /> 26. There are waste analysis records. <br /> 27. There is a closure plan for the unit. <br /> Unit Comments/Observations: (If this is a unit that was not included on the notification form, the violation is operating without a <br /> permit-HSC 25201(a). Also note if the activity is currently ineligibk for onsite authorization.) <br /> �&tL1T`t I_oT)C- &D 9SV-- LaN4S ' opal,_' r��p�Ti�, vN.q,� t9(LLQ A2,L <br /> 1D L V vin d0%&rD `To�7 'Tl f�yC— , /-ti 4 Yri-I'i� gC19'" -C-D ban—, O OLE, <br /> Onsite Checklist (B) Page_Z,, of tD January 1, 1995 <br />