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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.sigov.org/ehd <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CVS Pharmacy#9243 1 1000 W Kettleman Ln, Lodi August 27, 2018 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> This is a Class II violation. <br /> 109 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> The following generator copies of manifest numbers were found on site, but were not on file with sent to DTSC: <br /> -010789064FLE(1/24/18)(see photos IMG 1397-1398) <br /> -010788705FLE(11/9/17)(IMG 1395-1396) <br /> -010788704FLE(11/9/17)(IMG 1392) <br /> -010788703FLE(11/9/17)(IMG 1393) <br /> -010169182FLE(5/24/17)(IMG 1394) <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 /> 202 HSC 25189.5(a) Disposed or caused disposal of HW at an unauthorized point. <br /> A one quart container and a 5.5 qt. container of motor oil were found in the dumpster located behind the CVS(IMG <br /> 1441-1444).The store manager,Alexandria Rall,stated she did not know who put the motor oil in the dumpster, but <br /> indicated it could have been the homeless.According to Alexandria,the dumpster is used by CVS and was used by <br /> a restaurant adjacent CVS, King Tsin,which permanently closed on 8/25/18.Alexandria stated she would ensure <br /> the motor oil is properly disposed of and she will provide a record of proper disposal. <br /> Hazardous wastes shall be disposed of only by transportation to a permitted hazardous waste treatment, storage, <br /> and disposal facility(TSDF). Immediately cease disposal of hazardous waste to the dumpster and ensure that all <br /> future waste is hauled by a licensed hazardous waste transporter to a permitted TSDF. <br /> This is a Class I violation. <br /> FA0000119 PR0531040 SCO01 08/27/2018 <br /> EHD 22-01 Rev.09/22/16 Page 6 of 9 Small Quantity Hazardous Waste Generator OR <br />