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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 RCRA Large Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: CVS PHARMACY#17412 16858 GOLDEN VALLEY PKWY, Lathrop January 30, 2019 Universal Waste 712 HSC 25201.16(f) Failed to properly manage containers of waste aerosol cans ❑V ❑R ❑COS 713 HSC 25201.16(g) Failed to store used aerosol cans in an accumulation container ❑V ❑R ❑COS 714 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing n V ❑R ❑COS 715 HSC 25201.160) Failed to submit or amend notification for aerosol can processing ❑V ❑R ❑COS 716 CCR 66273.40(a)(3)(4) UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification ❑V ❑R ❑COS 717 CCR 66273.32(b) UWH failed to obtain an ID number from DTSC prior to accumulating>5000kg of non-RCRA UW n V n R ❑COS 718 CCR 66273.32(d) Failure of a UW handler to submit a complete annual report to DTSC ❑V ❑R ❑COS 719 CCR 66273.38 Failure of UW handler to transfer UW to the appropriate destination facility ❑V ❑R ❑COS 720 CCR 66273.31(a) UW handler caused improper disposal of UW n V ❑R ❑COS 721 CCR 66273.8(b) Conditionally exempt small quantity UW generator caused improper disposal of UW ❑V ❑R ❑COS Certified Appliance Recycler(CAR) 801 HSC 25211.4 Failure to obtain Certified Appliance Recycler certification(CAR) n V n R ❑COS 802 HSC 25211.2,25211.3 Failure of a CAR to provide docs that materials that require special handling have been removed ❑V ❑R ❑COS 803 HSC 25212 Failure of a CAR to properly remove and dispose of all materials that require special handling ❑V ❑R ❑COS Other Violations 3110 See below Unlisted Administration/Documentation violation ❑V ❑R ❑COS 3120 See below Unlisted Training violation ❑V ❑R ❑COS 3130 See below Unlisted Operations/Maintenance violation n V ❑R ❑COS 3140 See below Unlisted Release/Leaks/Spills violation ❑V ❑R ❑COS 3150 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation ❑V ❑R ❑COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 113 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter. The following manifests were found on site, and do not appear to include the weight of the empty warfarin containers in the total amount of hazardous waste generated: -012956355FLE (1/24/19)(IMG 3994)(see photo IMG 3994) -011434310FLE (8/15/18)(IMG 4009)(IMG 4009) The generator and waste sections of the uniform manifest shall be completed and signed and dated by the generator. The transporter shall also sign and date the manifest. Ensure that all manifests are properly completed for any transport of a hazardous waste for off-site transfer, treatment, storage or disposal. This is a Class II violation. FA0023485 PR0541023 SCO01 01/30/2019 EHD 22-03 Rev.09/22/16 Page 4 of 10 RCRA Large Quantity Hazardous Waste Generator OR