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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.sigov.org/ehd Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: CVS Pharmacy#9147 2605 W March Ln,Stockton August 24,2018 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 110 CCR 66262.40(a)Failed to keep signed copy of manifests from the designated facility for three years. The following manifest numbers were found without a signed off copy from the destination facility: -008680863FLE(3/16/17)(see photo: IMG 1330) Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three years and have them readily available for review. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 days of the date the waste was accepted by the initial transporter,the generator shall submit a legible copy of the missing manifest,with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. According to store's stock clerk receiver, Ray Koker,the most recent pick-up of hazardous waste was done on June 27th or 28th of 2018.Copies of uniform manifests for the disposal of the hazardous waste for June 2018 was not found on site. Hazardous waste generators shall retain copies of all manifests signed off by the disposal facility and all receipts used in a consolidated manifesting procedure on site for three years and have them readily available for review. Immediately locate a copy of all manifests and receipts for the last three years, maintain them on site,and submit a copy of the manifests from June 2018 to the EHD. This is a Class II violation. 111 CCR 66262.42(a)(c)(d)Failed to comply with uniform hazardous waste manifest exception requirements. The following manifest numbers were found without a signed off copy from the destination facility: -008680863FLE(3/16/17)(see photo: IMG 1330) Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three years and have them readily available for review. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 60 days of the date the waste was accepted by the initial transporter,the generator shall submit a legible copy of the missing manifest,with some indication that the generator has not received confirmation of delivery. This information shall be submitted to: DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento,CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit the required information to DTSC. Submit to the EHD a copy of the signed off copy of the manifest or a copy of the information submitted to DTSC. This is a Class II violation. FA0002003 PR0537749 SCO01 08/24/2018 FI ID 22-01 Rev.09/22/16 Page 6 010 Small Quantity Hazardous Waste Generator OIR