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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.sogov.org/ehd <br />RCRA Large Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />Facility Address: <br />Date: <br />CVS PHARMACY #16223 <br />2800 NAGLEE RD, Tracy <br />January 28, 2019 <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />115 <br />CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. <br />Failed to keep signed copy of manifests from the designated facility for three years: <br />- 012121066FLE (9/13/18) (IMG 3870) <br />- 008629030FLE (1/9/18) (IMG 3866) <br />- 012497617FLE (12/7/18) (IMG 3871) <br />- 008597861 FLE (2/7/17) (IMG 3868) <br />Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three <br />years and have them readily available for review. If the generator did not receive a copy of the manifest with the <br />handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 35 <br />days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or <br />the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive <br />a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial <br />transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and <br />a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those <br />efforts. Exception reports shall be submitted to: <br />DTSC Report Repository <br />Generator Information Services Section <br />P.O. Box 806 <br />Sacramento, CA 95812-0806 <br />Immediately locate a copy of the missing manifests or prepare and submit an exception report to DTSC. Submit to <br />the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. <br />This is a Class II violation. <br />FA0023489 PR0541027 SCO01 01/28/2019 <br />EHD 22-03 Rev. 09/22/16 Page 6 of 10 RCRA Large Quantity Hazardous Waste Generator OIR <br />