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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax: (209) 468-3433 Web:www.sgov.ora/ehd Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: ST JOSEPHS HOSPITAL 1800 N CALIFORNIA ST, STOCKTON April 21, 2017 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 106 CCR 66262.34(d)(2) Failed to train employees on waste handling and emergency procedures. At the time of inspection: It could not be demonstrated that employees who handle hazardous waste were properly trained. -Employees were not familiar with items handled on site that are hazardous wastes -All hazardous waste labels seen on site during the inspection were inconsistent in the information on the label. When asked why, multiple employees could not answer why or what information should actually be listed on the hw label -Facility was acting as a unpermitted treatment storage and disposal facility(TSDF) -Flammable hazardous wastes were being stored in an acid cabinet -Bulk Chemotherapy is identified in the"pharmaceutical waste program"as a hazardous waste and stored in the "biological safety cabinet' but when employees were asked to show where hazardous waste was stored on their floor or in their unit, all employees throughout the hospital said they did not have hazardous waste in their units/on their floors -RCRA hazardous waste in the"pharmaceutical waste program" is said to be managed in two separate bins, "aerosol" and "non-aerosol"without any indication or mention of managing incompatibles separately. In the appendix there are ignitables, oxidizers, corrosives (both high and low pH) identified as waste streams in pharmacies The generator must ensure that all employees who handle hazardous waste are thoroughly familiar with proper waste handling and emergency procedures. Provide proof of training to the EHD for employees whose responsibilities include hazardous waste. This is a Class II violation. 203 HSC 25189.5(c) Transported or caused transportation of hazardous waste to an unauthorized point. At time of inspection: St. Joesphs' hospital is using Inmar, Med-Turn Inc. as their reverse distribution company. According to Jacquelyn Cituk, Director of Pharmacy, pharmaceuticals which are expired or are expiring are put into a box in the pharmacy. A representative from Inmar comes in, segregates the controlled substances, and takes all the"unusable pharmaceuticals"to the the Med-Turn location in Fort Worth, Texas. RCRA pharmaceuticals are not segregated from non-RCRA pharmaceuticals. It is the Pharmacists understanding from the Inmar representative on site that only controlled substances are eligible for credit. The others are destined for destruction. Inmar, Med-Turn is not a licensed TSDF and is ineligible to receive RCRA hazardous waste. Immediately cease sending hazardous waste to an unauthorized point. This is a Class II violation. FA0003761 PRO514003 SCO01 04/21/2017 EHD 22-01 Rev.09/22/16 Page 4 of 7 Small Quantity Hazardous Waste Generator OIR