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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.slgov.orA/ehd <br /> RCRA Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CVS Pharmacy#9830 6632 Pacific Ave, Stockton August 20,2018 <br /> Universal Waste <br /> 715 HSC 25201.16() Failed to submit or amend notification for aerosol can processing n V n R ❑COS <br /> 716 CCR 66273.40(x)(4) UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification ❑V ❑R o COS <br /> 717 CCR 66273.32(b) Failed to obtain an ID number from DTSC prior to accumulating>5000kg of non-RCRA UW ❑V ❑R o COS <br /> 718 CCR 66273.32(d) Failure of a UW handler to submit a complete annual report to DTSC ❑V ❑R o COS <br /> 719 CCR 66273.38 Failure of UW handler to transfer UW to the appropriate destination facility ❑V ❑R o COS <br /> Appliance Recycler <br /> 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR) ❑V ❑R ❑COS <br /> 802 HSC 25211.2,25211.3 Failure of a CAR to provide docs that materials that require special handling have been removed u V u R ❑COS <br /> 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑V o R o COS <br /> Other Violations <br /> 3110 See below Unlisted Administration/Documentation violation ❑V u R ❑COS <br /> 3120 See below Unlisted Training violation ❑V o R ❑COS <br /> 3130 See below Unlisted Operations/Maintenance violation o V u R ❑COS <br /> 3140 See below Unlisted Release/Leaks/Spills violation ❑V ❑R o COS <br /> 3150 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 109 CCR 66265.52 Contingency plan is incomplete. <br /> The facility's contingency plan is incomplete.The contingency plan lacked the names,addresses,and phone <br /> numbers of an emergency coordinator and an alternate emergency coordinator.The plan also lacked the current <br /> telephone number for the State Office of Emergency Services.The contingency plan must include: <br /> 1. Description of actions facility personnel will take in response to fires,explosions,or any sudden or <br /> non-sudden release of hazardous waste to air,soil or surface water at the facility; <br /> 2. Description of arrangements made with local police departments,fire departments,hospitals,Contractors and <br /> State and local emergency response teams to coordinate emergency services; <br /> 3. List of names,addresses,and phone numbers(office/home/cell)of all persons qualified to act as emergency <br /> coordinator. Where more than one person is listed,one shall be named as the primary emergency coordinator and <br /> all others in order in which they will assume responsibilities; <br /> 4. List all emergency equipment,which includes location,physical description,and brief outline of its capabilities; <br /> 5. Evacuation routes for facility personnel where there is a possibility of evacuation; <br /> 6. Current telephone number for State Office of Emergency Services. <br /> If the facility has a Spill Prevention,Control and Countermeasures plan, or some other emergency or contingency <br /> plan,the owner or operator need only amend that plan to incorporate hazardous waste management provisions that <br /> are sufficient to comply with the requirements of this chapter. Immediately prepare or amend an existing plan to <br /> fulfill the requirements of this chapter. Submit a copy of the contingency plan to the EHD. <br /> This is a Class II violation. <br /> FA0015387 PROS36194 SC001 06/20/2018 <br /> EHD 22-03 Rev.09/12/16 Page 4 of 12 RCRA Large Quantity Hazardous Waste Generator OIR <br />