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Sanjay Marwaha,MD <br /> KAISER PERMANENTE,, Physician-in-chief <br /> Corwin N. Harper,MHA.FACHE <br /> Senior Vice President/Area Manager <br /> August 5, 2017 Central Valley Service Area <br /> Michelle Henry <br /> San Joaquin County Environmental Health Department <br /> 1868 E. Hazelton Ave. <br /> Stockton, CA 95205-6232 <br /> Dear Ms. Henry, <br /> The purpose of this letter is to respond to the fifteen violations that were noted during the June <br /> 13, 2017 Hazardous Waste inspection that occurred at the Stockton Medical Office. <br /> Violations. <br /> #112- CCR 66262.20 & #203- HSC 25189.5 (c): Kaiser requires that expired pharmaceuticals <br /> be managed as hazardous waste and shipped under manifest to a licensed hazardous waste <br /> transfer, treatment, storage or disposal facility. Expired pharmaceuticals are not to be sent to <br /> Inmar or any other facility unless the facility is licensed as a hazardous waste transfer. <br /> treatment, storage or disposal facility. Affected employees are being retrained on this <br /> requirement- For additional information, see response to#118 regarding training <br /> Warfarin waste was picked up. Refer to Manifests 4010887223FLE <br /> Attachment Manifests#010887223FLE <br /> #118- CCR 66265.16 (a-c) & #119- CCR 66265.16(d): Refresher training of the 2017 <br /> Hazardous Materials & Waste Contingency Plan and hazardous waste label instructions have <br /> been provided to staff. <br /> Attachments: Sign-in sheets <br /> #403- CC R 66265.173: Department is practicing containers closed when not in use. <br /> Attachment: Photo <br /> #406- CCR 66261.7: Due to changes that were made in the Pathology department, the need for <br /> the large drum is no longer needed in the waste containment Outside area. During the Clean <br /> Harbors pick up on June 20'", the drum was removed. <br /> #601- CCR 66262.34 (a): Warfarin &Aerosols waste was picked up. Refer to Manifests <br /> #010887223FLE &#010887224FLE <br /> Attachments: Manifests#010887223FLE & #010887224FLE <br /> #602- CCR 66262.34 (e)(1)(B): Silver Nitrate waste was picked up. Refer to Manifest <br /> #010887224FLE <br /> Attachment. Manifest#010887224FLE <br /> #605- CCR 66262.34 (f): Photos o`corrected and completed hazardous waste labels <br /> Attachments: Photos <br /> #608- CCR 66266.130: Oil Filters waste was picked up. Refer to Manifest#010887224FLE <br /> Attachments: Manifest#010887224FLE <br /> Stockton Medical Office Manteca Medical Center Tracy Medical Offices Modesto Medical Offices <br /> 7373 West L..,Stoalon,CA 95210 1777 W Vosemue Avenue.Manteca CA 95327 2185 W Grant Lina Reed Lary CA 5531 i 11601 Oaie Road McdeM CA 95356 <br />