The Checklist HW Generator Summary of Violations is a Sacramento County Environmental Management Department (EMD) document that lists the common violations found during hazardous waste generator inspections and ends with a two-page Return to Compliance Statement. A facility that received violations on its Official Inspection Report uses the statement to certify that each one was corrected and to say what evidence it is sending. On FillingPDF you can fill out the form online and download or print the completed PDF; the original is published by EMD at emd.saccounty.gov.
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What is Checklist HW Generator Summary of Violations – Sacramento County, CA?
The Checklist HW Generator Summary of Violations is a Sacramento County Environmental Management Department (EMD) document that lists common violations of federal, state or local hazardous waste generator rules and includes a Return to Compliance Statement used to report that cited violations were corrected.
The EMD Environmental Compliance Division issues it as part of its Hazardous Waste Program. The first nine pages are an inspection element checklist. Each entry gives a violation code, the legal authority (for example 22 CCR, HSC 6.5 or SCC 6.98.030) and a description of the violation. The form states that it is not a substitute for your Official Inspection Report, which holds the details of your own inspection.
The entries are grouped under Recordkeeping / Documentation, Hazardous Waste Management, General Facility Operations, Universal Waste and General. They apply to all facilities unless marked for Very Small Quantity Generators (VSQG), Small Quantity Generators (SQG) or Large Quantity Generators (LQG) only.
The last two pages are the Return to Compliance Statement: a compliance certification, facility identification, a table of every violation code with Photo, Paperwork and Statement boxes under "Evidence Submitted", and a space for Corrective Action Statements.
EMD lists a separate Checklist RCRA Large Quantity Generator Summary of Violations among its hazardous waste forms; this page covers the HW Generator checklist only.
Who needs to file Checklist HW Generator Summary of Violations – Sacramento County, CA?
The main group is hazardous waste generators in Sacramento County whose facility was inspected by EMD and whose Official Inspection Report notes violations. They use the Return to Compliance Statement to certify that the violations were corrected.
The checklist items apply to all facilities unless an item is marked for VSQG, SQG or LQG only. Some sections are aimed at specific operators: Universal Waste items address universal waste handlers, and the Certified Appliance Recycler items address certified appliance recyclers.
The statement refers to the violations on your Official Inspection Report and its accompanying inspection checklists, so you need that report in hand. Anyone who only wants to read the list of common violations can use the checklist pages without completing the statement.
The form has lines for signature, printed name and position/title. It does not say who within a facility may sign, so ask EMD at 916/875-8550 if you are unsure.
When to file Checklist HW Generator Summary of Violations – Sacramento County, CA
The Return to Compliance Statement must be returned to EMD within 19 days of your facility's inspection for Priority Corrective Action violations, and within 35 days for all other violations, unless the Official Inspection Report says otherwise. The checklist pages themselves are not returned; they only list the violation types.
Send the statement together with copies of any proof of compliance documents, such as photos, copies of manifests or disposal records or receipts, or other original paperwork. Count the days from the date of the inspection, not from the date you received the report.
Documents you need
- Your Official Inspection Report and its accompanying inspection checklists: the statement certifies that the violations noted in them have been corrected.
- Photos of the corrected condition, as proof of compliance, where a photo shows the violation was corrected.
- Copies of manifests, disposal records or receipts, where the correction involved shipping or disposing of waste.
- Other original paperwork that proves compliance, if the evidence is not a photo, manifest, disposal record or receipt.
How to fill out Checklist HW Generator Summary of Violations – Sacramento County, CA
Keep your Official Inspection Report handy
The statement refers to the violations on your Official Inspection Report and its checklists. Note the violation codes and any deadline the report sets before you begin.
Read the compliance certification
Read items 1 to 4. By signing you certify the violations were corrected as indicated, that you examined any attached proof, that you are aware of the penalties for false information or non-compliance, and that you declare it true under penalty of perjury.
Enter where and when it was executed
At Executed at:, write the place, followed by California, and enter the date next to Date:.
Identify the facility
Enter the Facility Name and the Facility ID# (FA) that appear on your inspection paperwork.
Sign and add signer details
Complete Signature:, Printed Name: and Position/Title: for the person certifying the corrections.
Check the violation codes cited
In the Summary of Violation Compliance Action table, find each violation code listed in your Official Inspection Report. Codes are in columns, such as 3010002 or 3030007.
Mark the evidence you submit
For each cited code, check Photo, Paperwork or Statement under Evidence Submitted to show the type of proof you are attaching.
Write the corrective action statements
Under Corrective Action Statements: describe how each cited violation was corrected, referring to the violation code.
Review, download and assemble
Check every entry and the signature, then download or print the completed PDF from FillingPDF. Add your copies of proof of compliance and send the package as described under How to submit.
How to submit Checklist HW Generator Summary of Violations – Sacramento County, CA
The statement states that it must be returned to EMD. It names no specific channel, so confirm with EMD which delivery method it accepts. The form's header gives these EMD contact details:
- Address: County of Sacramento, Environmental Management Department, Environmental Compliance Division, 11080 White Rock Road, Suite 200, Rancho Cordova, CA 95670.
- Phone: 916/875-8550 (8am – 5pm).
- Fax: 916/875-8513.
- Website: http://emd.saccounty.gov.
Include copies of your proof of compliance documents with the statement. Meet the 19-day or 35-day deadline described above, or the date set in your Official Inspection Report. FillingPDF lets you fill out and download the PDF; submission follows the channels EMD accepts.
Common mistakes to avoid
- Returning the statement after 19 days when the Official Inspection Report lists Priority Corrective Action violations; 35 days applies only to all other violations, unless the report says otherwise.
- Sending the statement without copies of proof of compliance, such as photos, manifests, disposal records, receipts or other original paperwork.
- Signing the certification without personally examining the attached documents; the signer declares under penalty of perjury that they are true, accurate and complete.
- Leaving the Photo, Paperwork or Statement boxes unmarked for a violation code, so EMD cannot see what evidence supports the correction.
- Marking violation codes that are not on your Official Inspection Report instead of only the codes your inspection cited.
- Treating the checklist pages as your inspection results; the form says to refer to your Official Inspection Report for specific details.
- Omitting the Facility ID# (FA) or the facility name, which identify which inspection the statement answers.
- Submitting false information or leaving cited violations uncorrected; the certification warns of significant penalties for both.
Frequently asked questions
What is the Checklist HW Generator Summary of Violations?
It is an EMD document listing common violations of federal, state and local hazardous waste generator rules, with violation codes and legal authorities. It ends with a Return to Compliance Statement that a facility uses to certify violations were corrected.
Is this a Sacramento County business license form?
No. It is a violations checklist and a Return to Compliance Statement for hazardous waste generators, not a license application. One checklist item, SCC 6.98.030, refers to having an active hazardous waste generator permit, but this document does not apply for one.
How long do I have to return the Return to Compliance Statement?
Within 19 days of your facility's inspection for Priority Corrective Action violations and within 35 days for all other violations, unless your Official Inspection Report notes a different timeframe. Include copies of proof of compliance.
What proof of compliance do I need to include?
Include copies of any proof of compliance documents, such as photos, copies of manifests, disposal records or receipts, or other original paperwork. On the statement you check Photo, Paperwork or Statement for each violation code.
Do I need my inspection report to complete it?
Yes. The statement certifies that the violations on your Official Inspection Report and its checklists were corrected, and the checklist tells you to refer to that report for specifics about your inspection.
Can I fill out the Return to Compliance Statement online?
You can complete the PDF online on FillingPDF and download or print it. FillingPDF is independent of EMD and does not send the statement to the agency; you return it to EMD yourself.
Who do I contact with questions about the form?
Contact the EMD Environmental Compliance Division at 916/875-8550, 8am to 5pm, or at 11080 White Rock Road, Suite 200, Rancho Cordova, CA 95670, as printed on the form.
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