"Hazardous Waste Inspection Form Large Quantity Generator" - California

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CUPA
Department/Division
Address
Phone: (xxx) xxx-xxxx Fax: (xxx) xxx-xxxx
Website: www.website.com
HAZARDOUS WASTE INSPECTION FORM
LARGE QUANTITY GENERATOR
Facility Name
Date
Site Address
Time In
Time Out
Owner/Operator
Phone
Type of Inspection
Inspection Consolidation
Inspector
Routine
Re-Inspection
Combined
Joint
Integrated
Facility ID
Follow-up
Other
Multimedia
Solo
______________________
Program Element
CONSENT TO INSPECT GRANTED BY Name:
EPA ID
Title:
Inspection may involve obtaining photographs, reviewing and copying records, and determination of compliance.
Page
of
____
____
M= Minor Viol, CII= Class II, CI= Class I
M
CODE
Y
N
N/A
HAZARDOUS WASTE REQUIREMENTS FOR LQGs
CI
CII
Record Keeping/Documentation
LR01
Biennial Report submitted every even year (66262.41) and maintained onsite (66262.40(b))
Hazardous waste determination was made for all wastes. …Analysis …Generator knowledge (66262.11)
LR02
LR03
Contingency Plan is available for review (66265.53(a))
LR04
Contingency Plan contains all required elements (66265.52) and is current (66265.54).
LR05
Training plan is onsite (66265.16(d)) and complete (66265.16(a)(3))
LR06
Documentation that training is provided to personnel annually (66265.16(c))
LR07
Personnel have been provided training within 6 months of hire or taking a new position (66265.16(b))
LR08
Manifests are complete (66262.23(a)(1))
LR09
The “Generator copy” of each manifest is being submitted to DTSC (66262.21(f))
LR10
TSDF signed copy of the manifest available is within 35 days of waste shipment. (66262.42(a))
LR11
Bills of Lading for transportation of used oil on a Consolidated Manifest are present and complete (HSC 25160)
LR12
LDRs are available and complete. (66268.7(a)(5)(C))
LR13
Written inspection logs for tanks show daily inspections (66265.195(c))
LR14
Onsite recycling is reported every two years using UPCF (HSC 25143.10)
Tank integrity/containment assessment is complete (66265.192e)(1) & has been completed in past 5 years
LR15
(66265.192(h)(1))
Container Management
LC01
Containers are in good condition. (66265.171) and compatible with the waste being held (66265.172)
LC02
Containers holding ignitable and reactive wastes are more than 50 feet from property line (66265.176)
LC03
Containers are closed except when adding or removing waste. (66265.173(a))
LC04
Containers are inspected weekly. (66265.174)
LC05
Contaminated empty containers are empty. (66261.7(b))
LC06
“Empty” containers are marked with date emptied. (66262.7(f))
LC07
Satellite accumulation containers are at or near the point of generation (66262.34(e)(1)(A))
LC08
Satellite accumulation containers are under the control of an operator (66262.34(e)(1)(A))
LC09
Satellite accumulation areas contain only one container per wastestream (66262.34(e)(2))
LC10
Container >26 gal & holds VOC containing waste w/ >500 ppms is DOT approved, closed tight (66265.1087)
LC11
Adequate aisle space is maintained to allow access to containers (66265.35)
LC12
Exclude recyclable materials stored in accordance with local ordinance/hazardous materials codes. (HSC 25143.9(c))
LC13
Facility is equipped with emergency equipment and alarms/communication system (66265.32)
Tank Management
LT01
Tanks are equipped with overfill prevention controls (66265.194)
LT02
Tanks are equipped with secondary containment leak detection device (66265.192(j)(3))
LT03
Tanks are inspected daily (66265.195)
LT04
Tank <19,000 gal, holds VOC >500ppmw, has fixed roof (66265.1083(b) & 66265.1085(c))
LT05
Tank holding VOCs that does not meet criteria above, has cover and control device (66265.1085(d))
CUPA
Department/Division
Address
Phone: (xxx) xxx-xxxx Fax: (xxx) xxx-xxxx
Website: www.website.com
HAZARDOUS WASTE INSPECTION FORM
LARGE QUANTITY GENERATOR
Facility Name
Date
Site Address
Time In
Time Out
Owner/Operator
Phone
Type of Inspection
Inspection Consolidation
Inspector
Routine
Re-Inspection
Combined
Joint
Integrated
Facility ID
Follow-up
Other
Multimedia
Solo
______________________
Program Element
CONSENT TO INSPECT GRANTED BY Name:
EPA ID
Title:
Inspection may involve obtaining photographs, reviewing and copying records, and determination of compliance.
Page
of
____
____
M= Minor Viol, CII= Class II, CI= Class I
M
CODE
Y
N
N/A
HAZARDOUS WASTE REQUIREMENTS FOR LQGs
CI
CII
Record Keeping/Documentation
LR01
Biennial Report submitted every even year (66262.41) and maintained onsite (66262.40(b))
Hazardous waste determination was made for all wastes. …Analysis …Generator knowledge (66262.11)
LR02
LR03
Contingency Plan is available for review (66265.53(a))
LR04
Contingency Plan contains all required elements (66265.52) and is current (66265.54).
LR05
Training plan is onsite (66265.16(d)) and complete (66265.16(a)(3))
LR06
Documentation that training is provided to personnel annually (66265.16(c))
LR07
Personnel have been provided training within 6 months of hire or taking a new position (66265.16(b))
LR08
Manifests are complete (66262.23(a)(1))
LR09
The “Generator copy” of each manifest is being submitted to DTSC (66262.21(f))
LR10
TSDF signed copy of the manifest available is within 35 days of waste shipment. (66262.42(a))
LR11
Bills of Lading for transportation of used oil on a Consolidated Manifest are present and complete (HSC 25160)
LR12
LDRs are available and complete. (66268.7(a)(5)(C))
LR13
Written inspection logs for tanks show daily inspections (66265.195(c))
LR14
Onsite recycling is reported every two years using UPCF (HSC 25143.10)
Tank integrity/containment assessment is complete (66265.192e)(1) & has been completed in past 5 years
LR15
(66265.192(h)(1))
Container Management
LC01
Containers are in good condition. (66265.171) and compatible with the waste being held (66265.172)
LC02
Containers holding ignitable and reactive wastes are more than 50 feet from property line (66265.176)
LC03
Containers are closed except when adding or removing waste. (66265.173(a))
LC04
Containers are inspected weekly. (66265.174)
LC05
Contaminated empty containers are empty. (66261.7(b))
LC06
“Empty” containers are marked with date emptied. (66262.7(f))
LC07
Satellite accumulation containers are at or near the point of generation (66262.34(e)(1)(A))
LC08
Satellite accumulation containers are under the control of an operator (66262.34(e)(1)(A))
LC09
Satellite accumulation areas contain only one container per wastestream (66262.34(e)(2))
LC10
Container >26 gal & holds VOC containing waste w/ >500 ppms is DOT approved, closed tight (66265.1087)
LC11
Adequate aisle space is maintained to allow access to containers (66265.35)
LC12
Exclude recyclable materials stored in accordance with local ordinance/hazardous materials codes. (HSC 25143.9(c))
LC13
Facility is equipped with emergency equipment and alarms/communication system (66265.32)
Tank Management
LT01
Tanks are equipped with overfill prevention controls (66265.194)
LT02
Tanks are equipped with secondary containment leak detection device (66265.192(j)(3))
LT03
Tanks are inspected daily (66265.195)
LT04
Tank <19,000 gal, holds VOC >500ppmw, has fixed roof (66265.1083(b) & 66265.1085(c))
LT05
Tank holding VOCs that does not meet criteria above, has cover and control device (66265.1085(d))
HAZARDOUS WASTE INSPECTION FORM
LARGE QUANTIRY GENERATOR
Page
of
____
____
M= Minor Viol, CII= Class II, CI= Class I
M
ITEM
Y
N
N/A
HAZARDOUS WASTE LQG REQUIREMENTS
CII
NO.
CI
Accumulation Time Limits
LA01
Waste is accumulated for no more than 90 days. (66262.34(a))
LA02
Satellite waste is accumulated for not more than 1 year from first drop. (66262.34(e)(1)(B))
LA03
Satellite waste is accumulated for no more than 90 days from filled date. (66262.34(e)(1)(B))
LA04
Empty containers are managed within 1 year. (66261.7(f))
LA05
Used oil filters are accumulated for less than 1 year (limited to 180 days >1 ton onsite). (66266.130(c)(4))
LA06
Spent lead-acid batteries are accumulated for less than 1 year (limit: 180 days if >1 ton onsite). (66266.81(a)(6))
Labeling/Marking
LL01
Containers are properly marked/labeled and visible for inspection. (66262.34(a)(2) & (3)/66262.34(f)))
LL02
Satellite containers are marked with initial accumulation start date. (66262.34(e)(1)(C))
LL03
Filled satellite containers are marked with date filled. (66262.34(e)(3))
LL04
Containers holding excluded recyclable materials are marked properly. (HSC 25143.9(a)
LL05
Containers holding drained used oil filters are marked “Drained Used Oil Filters”. (66266.130(c)(3))
LL06
Lead-acid batteries are marked with date removed from service/generated. (66266.81(a)(6)(D))
LL07
Tanks and containers holding used oil are marked “Used Oil”. (HSC 25143.9(a) & 66279.21(b))
LL08
Tanks are marked with “Hazardous Waste”, contents, and start date. (66262.34(f)(2) & (3))
Universal Waste
LU01
Universal Waste is properly labeled/marked (66273.14 & 66273.34)
LU02
Universal Waste is properly managed (66273.13 & 66273.33)
LU03
Universal Waste is managed within 1 year of generation (66273.15 & 66273.35)
LU04
Records of each shipment of Universal Waste for past 3 years are available (66273.19 & 66273.39)
Treatment, Transport & Disposal/Other
LM01
Has a permit/authorization to conduct waste treatment. (HSC 25201 (a))
LM02
Offered waste for transport using an authorized transporter. (HSC 25201(a))
LM03
Disposed of waste only to authorized points/parties. (HSC 25201(a))
LM04
Maintained the facility in a manner that minimizes releases (66265.31)
LM05
Emergency equipment is tested and maintained in working order (66265.33)
Comments & Observations
RECEVIED BY:
INSPECTED BY:
DATE:
Signature of receipt of this report does not imply agreement with the findings, only receipt of report.
MINOR VIOLATIONS REQUIRE CERTIFICATION OF CORRECTION: Violation(s) must be corrected by
.
To certify the correction of all minor violations, return a copy of this report with a SIGNATURE and DATE included in the box
below to CUPA NAME, ADDRESS within THIRTY (30) DAYS of the date of inspection.
SIGNATURE (Certification of Compliance)
DATE
HAZARDOUS WASTE INSPECTION FORM
LARGE QUANTIRY GENERATOR
Page
of
____
____
Comments, Observations, Violation Documentation
Guide to violations and violation codes found in left-most column of the inspection report/checklist
Code
Regulation, description, guidance
LR01
Facility has filed a Biennial Report and maintained a copy. Biennial reports must be filed in each even
numbered year reporting amounts of waste generated and how each was handled. Reports may be filed with
DTSC electronically, and a receipt of filing can be printed. Reports must be maintained for three years.
Facility waste determinations. Facilities must make waste determinations for all wastes. They can apply
LR02
generator knowledge, but it must be based on knowledge of the waste or process. Guidance can be given
regarding lab testing, indicating test methods or generic test names (e.g. fish bioassay or CAM-17 WET or pH)
and certified labs for use.
Contingency plan available for review. A copy of the contingency plan must be kept onsite.
LR03
LR04
Contingency plan required elements. Contingency plans should address the following (at a minimum):
actions to be taken in event of fire/explosion/release, arrangements (if any) with local response teams,
name/address/phone number (home and office) of emergency coordinators, list of emergency
equipment/description/location, evacuation plan, State OES emergency number (800-852-7550). HMBP &
SPCC plans may be substituted IF all elements are present.
LR05
Training plan is onsite and complete. Training plans should address the following (at a minimum): employee
response to emergencies, procedures for inspecting monitoring systems, operation of automatic feed cut off
systems, alarm and communication systems, response to fires and explosions, and shutdown operations. Plan
should be organized to include job title, employee name, job description, type and frequency of training to be
provided.
LR06
Training documentation is available. Documentation showing that all elements of the plan outlined for each
job title and employee must be updated annually and maintained.
Personnel training provided within 6 months of hire. Within the first 6 months, personnel must be
LR07
supervised until they have been trained in the requirements of job.
Manifests are complete. Generators are responsible for Items 1-15 on the manifest. Generator site address
LR08
may be blank if same as mailing address. Item 9a may be marked “RQ” to indicate a reportable quantity is being
shipped. Item 9a may be left blank if all items on the manifest being shipped are DOT regulated (but it is
recommended that any DOT regulated material be marked, regardless). Both federal and state waste codes
need to be entered in Item 13, leave blank if none.
Generator copy sent to DTSC. New manifests do not have “mail to” address on the form any longer.
LR09
Requirement to submit to State still exists. Copies (photocopy or original after TSDF copy is received) should be
sent to DTSC Generator Manifests, P.O. Box 400, Sacramento, CA 95812-0400. No proof of submission is
required. Inspectors may look at HWTS to determine if copies have been received (look for “Y” in the “Paired”
column to start), but be aware that data entry to HWTS may lag by up to 6 months.
TSDF copy available w/in 35 days. TSDF copies should be received within 35 days of shipment. If not,
LR10
generators should contact TSDF to determine status. If copy not received within 45 days, an exception report
should be submitted to DTSC.
Bill of Lading for transporting used oil. LQGs may use consolidated manifesting for transport of used oil.
LR11
Transporters should leave receipt (Bill of Lading) showing waste, quantity, shipper, TSDF, and date of shipment.
LDRs. LDR notifications must go with all RCRA wastes. Look for LDRs for each waste with a federal waste
LR12
code in Item 13 of the manifest. LDRs should show what the waste (or code) is and the minimum treatment
standard. Can send one LDR per waste each year if waste and receiving facility do not change throughout that
year.
LR13
Tank inspection logs. Tanks must be inspected daily for leaks, cracks or corrosion, to ensure that spill control
equipment is in working order, containment is in good condition, and freeboard is maintained (for open topped
tanks)
Submitting a recycling report. Facilities that recycle more than 100 kg of waste for re-use onsite have to fill
LR14
out a report form. Onsite recycling includes reuse of wastewater in plating baths, antifreeze recycling units, and
re-circulating solvent sinks. Facilities may need help determining which exemption applies to them when filing
the form.
LR15
Tank integrity and containment assessment. Tanks used to hold waste must have and integrity assessment
conducted every 5 years. Assessments should address tank construction, design, seismic anchoring, thickness
of shell, estimated life remaining, compatibility with contents, and condition and construction of containment
area. Ancillary equipment such as piping should be included. Final assessment must be signed by a P.E.
Guidance on contents of assessments available at http://www.calcupa.net/technical/hazwaste/index.html and
http://www.unidocs.org/hazmat/hazardous-waste/index.html.
Containers in good condition and compatible with contents. Containers holding waste should be free of
LC01
severe rust, major dents and leakage, and compatible with their contents.
Ignitables/Reactives 50 feet from property line. Containers holding ignitable and/or reactive wastes must be
LC02
stored at least 50 feet from the property line.
LC03
Containers not closed. Containers must be kept closed unless adding or removing waste. For liquid wastes,
closed should include a tightened bung or valved funnel, while non-dispersible solids may have the lid loosely
fitted but not secured during the workday.
Inspecting containers weekly. While inspections are required, logs are not required to be kept. Look for signs
LC04
that containers aren't being inspected such as improper labeling, open containers or containers in poor
condition.
Empty containers not empty. Empty containers may not have a steady stream of liquid escape when inverted
LC05
or solids must be scraped clear as much as practical. Empty containers may still have some waste in them after
emptying from settling of residues-ensure the facility took measures to make the container empty (i.e. inverted it
over new drum).
LC06
Empty containers marked with date. Empty containers must be marked with the date emptied, except when
the empty container is shipped back to the supplier for re-filling with the same material (see 66261.7(i) for
refilling requirements).
LC07
Satellite: At or near point of generation. Inspector’s discretion for definition of "at or near". Wastes not at or
near don't qualify for 1-year satellite accumulation rule, must be held to 90/180/270 day accumulation times.
Satellite: Under control of operator. Containers should be able to receive regular attention from a human
LC08
being.
Satellite: One container per wastestream. Satellite accumulation rules allow only one container, up to 55
LC09
gallons in size, per satellite area for each waste stream unless it can be shown that it is not practical or safe to
have only one.
Containers holding VOCs (Subpart CC). Containers larger than 26 gallons, that hold wastes with VOC
LC10
contents greater than 500 ppm by weight (> than 20% by weight and which have a vapor pressure of greater
than 2.25 mm Hg) must be kept in DOT approved containers and remain sealed unless adding or removing. If
any of above criteria are not met, rule does not apply (“light duty”). If facility cannot prove that criteria are not
met, rule applies.
Aisle space. Adequate space must be provided for all containers to allow for unobstructed access in the event
LC11
of a problem.
Excluded recyclable material storage. These wastes are excluded, and not subject to Title 22 storage or
LC12
accumulation rules, they are materials. Use fire code and local ordinance to govern storage (i.e. containment,
occupancy segregation).
Emergency equipment. Facility must have an internal alarms system, a radio or telephone capable of
LC13
summoning help, fire extinguishers, and spill control and decontamination equipment. A facility can demonstrate
that it does not have the equipment if it is not required to mitigate the hazards posed by the wastes handled at
that facility.
Tanks equipped with overflow controls. Tanks must have some spill prevention controls such as check
LT01
valves, auto cut-offs, high level alarms, or standby tank bypass. 2’ freeboard is required for open tanks if
containment not present.
Secondary containment leak detection. Containment structures must have leak detection systems that can
LT02
detect a leak into containment within 24 hours. Visual daily inspection may be substituted for installation of
systems if the entire tank can be viewed.