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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s'gov.org/ehd RCRA Large Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: CVS Pharmacy#5403 1175 W Lathrop Rd, Manteca September 06, 2018 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 109 CCR 66265.52 Contingency plan is incomplete. -The facility's contingency plan is incomplete. The facility failed to designate a list of names, addresses, and phone numbers(office/home/cell)of all persons qualified to act as emergency coordinator, on the contingency plan.Where more than one person is listed, one shall be named as the primary emergency coordinator and all others in order in which they will assume responsibilities. -The contingency plan also lacks the current telephone number for the State Office of Emergency Services. The contingency plan must include: 1. Description of actions facility personnel will take in response to fires, explosions, or any sudden or non-sudden release of hazardous waste to air, soil or surface water at the facility; 2. Description of arrangements made with local police departments,fire departments, hospitals, contractors and State and local emergency response teams to coordinate emergency services; 3. List of names, addresses, and phone numbers(office/home/cell)of all persons qualified to act as emergency coordinator. Where more than one person is listed, one shall be named as the primary emergency coordinator and all others in order in which they will assume responsibilities; 4. List all emergency equipment,which includes location, physical description, and brief outline of its capabilities; 5. Evacuation routes for facility personnel where there is a possibility of evacuation; 6. Current telephone number for State Office of Emergency Services. If the facility has a Spill Prevention, Control and Countermeasures plan, or some other emergency or contingency plan,the owner or operator need only amend that plan to incorporate hazardous waste management provisions that are sufficient to comply with the requirements of this chapter. Immediately assign a person to be the emergency coordinator and at least one other person to be the alternate emergency coordinator, and include their names, addresses, and phone numbers on the contingency plan.Also, include in the contingency plan the current telephone number for the State Office of Emergency Services. Immediately prepare or amend an existing plan to fulfill the requirements of this chapter. Submit a copy of the contingency plan to the EHD. This is a Class II violation. 114 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. Generator copies of the following manifest numbers were found on site, but were not on file with DTSC: -008629094FLE(12/23/17)(see photos IMG 1594-1595) -008629093FLE(12/23/17)(IMG 1596- 1597) -010076872FLE(9/29/17)(IMG 1598-1599) -008553774FLE(7/11/17)(IMG 1600-1601) -010168027FLE(4/17/17)(IMG 1602-1603) -008597535FLE(11/5/16)(IMG 1604-1606) The generator manifest copy shall be submitted to DTSC for every shipment on a manifest when California is either the generator state or the destination or consignment state. The generator manifest copy shall be mailed to: DTSC Generator Manifests P.O. Box 400 Sacramento, CA 95812-0400 Immediately mail a copy of the manifests listed and ensure that copies of all generator manifests are sent to DTSC within 30 days of shipping hazardous waste. This is a Class II violation. FAOD19897 PRO531041 SCO01 09/06/2018 EHD 22-03 Rev.09/22/16 Page 6 of 16 RCRA Large Quantity Hazardous Waste Generator OIR