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Banfield Pet Hospital #1188, 10520 Trinity Pkwy, Stockton, CA Record ID PR0542389 <br />11/20/2019 CUPA — Haz. Waste <br />PHOTO # 16 <br />Completed weekly Hazardous Waste Storage Inspection forms could not be found at the time of inspection. According to the Banfield Waste Management <br />Plan, completed weekly hazardous waste storage inspection forms are to be maintained in the Waste Management Binder for minimum of three years <br />(see photo IMG 9576). <br />-9- <br />`� �rdeu` Waste Stora a Inx action Form —To Be Conducted Weekl Benfield Pet Hos tai # <br />ppTE INSPECTED: BANFIELD REPRESENTATIVE: (print): SIGNATURE: <br />7p?ITAINEAS <br />,tate if present) <br />a <br />Labeled as <br />Hazardous Waste <br />(YIN? <br />Hospital <br />Number! <br />Address <br />(YIN?) <br />Contents <br />noted! <br />(YIN?) <br />Accumulation CONDITION CAPS/LIDS <br />Start Date Leaking? (YIN?) <br />(YIN?) (goodlcrackedletc.) SEALED (YIN?) <br />mired Pharmaceuticals <br />Waste Gram Stain <br />militate if present) <br />CONDITION CAPSILIDS <br />Hazardous Address noted? Start Date Leaking?YIN' <br />( ) <br />Waste (YIN?) (YIN?) (YIN?) (good/cracked/etc.) SEALED (YIN?) <br />(YIN!) <br />Expired Pharmaceuticals <br />Wwe Pharmaceuticals <br />Waste Gram Stain <br />Waste Pharmaceuticals <br />Waste Formalin <br />µCILITY <br />SPILL/LEAK/STAIN FOUND? (YeslNo) FIRST AID KIT PRESENT? (Yes/No) SPILL SUPPLIES PRESENT? (Yes No) <br />�QllTy <br />SPILULEAKJSTAIN FOUND? (YeslNo) FIRST A!D KIT PRESENT? (YeslNo) SPILL SUPPLIES PRESENT? (YeslNo) <br />CORDS <br />HAZARDOUS WASTE MANIFESTS (in WM Binder) (Yesl No) INSPECTION REPORTS (in WM Binder) (YeslNo) <br />.RDS <br />STERICYCLE MANIFESTS (in Safety Binder) (Yesl No) INSPECTION REPORTS (in Safety Binder) (YeslNo) <br />DATE <br />COMMENTS I CORRECTIVE ACTION I DISCREPANCY? INITIALS <br />' aanswered "Yes" to S ills/Leaks <br />d/ "N " <br />I n or o to any of the other items above. or the condition of the container is inadequate, please provide information on the issue and how it was resolved <br />az Sharps directly at Lanheld - harpsinccom for labels, containers, and disposal. E-mail HSE(o anfield com for any general questions or assistance. res <br />i ED: <br />I BANFIELD REPRESENTATIVE: (print): SIGNATURE: <br />:ONTAlNER5 <br />Labeled as Hospital <br />Number/ Contents Accumulation <br />militate if present) <br />CONDITION CAPSILIDS <br />Hazardous Address noted? Start Date Leaking?YIN' <br />( ) <br />Waste (YIN?) (YIN?) (YIN?) (good/cracked/etc.) SEALED (YIN?) <br />(YIN!) <br />Expired Pharmaceuticals <br />Waste Gram Stain <br />Waste Pharmaceuticals <br />Waste Formalin <br />�QllTy <br />SPILULEAKJSTAIN FOUND? (YeslNo) FIRST A!D KIT PRESENT? (YeslNo) SPILL SUPPLIES PRESENT? (YeslNo) <br />'CO <br />.RDS <br />STERICYCLE MANIFESTS (in Safety Binder) (Yesl No) INSPECTION REPORTS (in Safety Binder) (YeslNo) <br />DATE <br />COMMENTS I CORRECTIVE ACTION I DISCREPANCY? <br />INITIALS <br />r��'swered <br />"Yes" to SpillslLeaks andlar "No" [o any of the other items above, or the condition of the container is inadequate, please provide information on rhe issue <br />a��arps how it <br />direcGy at �siaaae5hartnrx.[:orn <br />and was resolved. <br />for labels, containers, and disposal E-mail HSE!iy Lanfield com for any general questions or assistance. <br />on Zola <br />o�T <br />1� <br />Elianna Florido, REHS Page 16 of 18 <br />