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Sari 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.sigov.org/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 /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 114 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> When asked what is done once the facility receives a manifest,the store manager,Jon Alley,stated that he places <br /> the manifests in the facility's environmental binder, but made no indication that the manifests are sent to DTSC. The <br /> following generator copies of manifest numbers were found on site, but are not on file with DTSC: <br /> 009157113FLE(11/15/16) <br /> 010076875FLE(11/1/17) <br /> -010788942FLE(12122117) <br /> -009156013FLE(4/21117) <br /> 01 1387023FLE(3/14/18) <br /> 010867665FLE(6/12118) <br /> The generator manifest copy shall be submitted to DTSC for every shipment on a manifest when California is either <br /> the generator state or the destination or consignment state. The generator manifest copy shall be mailed to: <br /> DTSC Generator Manifests <br /> P.O. Box 400 <br /> Sacramento, CA 95812-0400 <br /> Immediately mail a copy of the manifests listed and ensure that copies of all generator manifests are sent to DTSC <br /> within 30 days of shipping hazardous waste. <br /> This is a Class II violation. <br /> rA0015387 PRO536194 SCO01 0872012018 <br /> EI 11 22-03 R—ry 09122/16 Page 5 of 12 RCRA Large Quantity Hazardous Waste Generator OIR <br />