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S0 JOA U 1 Environmental Health Department <br /> U ; i y <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> SAFEWAY STORE 1769 2808 COUNTRY CLUB BLVD, STOCKTON June 16, 2020 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 605 CCR 66262.34(f) Failed to completely label containers or portable tanks of hazardous waste. <br /> OBSERVATION: Hazardous waste containers were observed on-site with incomplete labeling. The containers <br /> were: <br /> 1. The pharmacy's hazardous waste container, storing hazardous waste pharmaceuticals, including bottles of <br /> warfarin tablets/residual,was missing the name and address of the generator, hazardous properties, physical state, <br /> composition (contents), and accumulation start date. <br /> REGULATION GUIDANCE: All hazardous waste containers shall be marked with the following information: the <br /> words"Hazardous Waste", name and address of generator, hazardous properties, physical state, composition <br /> (contents), accumulation start date <br /> CORRECTIVE ACTION: The violation was corrected during the inspection by Sofia Salcedo, staff pharmacist,who <br /> labeled the hazardous waste container with the required information. No further action is required to correct this <br /> violation. <br /> This is a Class II violation. <br /> Overall Inspection Comments: <br /> Notes: <br /> -Joey Marshall, the acting assistant store director, did not grant consent for photos to be taken at the time of <br /> inspection. <br /> - EHD requests a copy of Safeway's current hazardous waste management program to be submitted to the EHD. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, by 7/16/2020. <br /> To minimize person to person contact EHD is choosing to write the name of person receiving the report instead <br /> of having them sign. Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate <br /> ($152). To schedule an appointment, please call (209)468-3420. <br /> Documents provided during inspection: Hazardous Waste Labeling Requirement guidance sheet, List of Free <br /> CUPA Training Classes, Return To Compliance Certification (RTC) & Corrective Action Statement (CAS)form <br /> Waste streams found: non-empty cleaning chemical aerosol cans, unsaleable over the counter medication, <br /> leaking/damaged soap containers, unsaleable pharmacy medication (including bottles of warfarin <br /> tablets/residual), loose pharmaceutical pills <br /> FA0012734 PR0538350 SCO01 06/16/2020 <br /> EHD 22-01 Rev.9/20/2019 Page 8 of 9 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />