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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: Facility Address: Date: <br /> CVS PHARMACY#16856 280 SPRECKELS AVE, MANTECA February 06, 2019 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 113 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter. <br /> The following manifest were found on site, and do not appear to include the weight of the empty warfarin containers <br /> in the total amount of hazardous waste generated: <br /> -011386076FLE (2/4/19)(see photo IMG 4119) <br /> -011385012FLE (8/9/18)(IMG 4125) <br /> -010867629FLE (6/5/18) <br /> -011386690FLE (3/7/18) <br /> The generator and waste sections of the uniform manifest shall be completed and signed and dated by the <br /> generator. The transporter shall also sign and date the manifest. <br /> Ensure that all manifests are properly completed for any transport of a hazardous waste for off-site transfer, <br /> treatment, storage or disposal. <br /> This is a Class II violation. <br /> 114 CCR 66262.23(a)(4) Failed to send generator manifest copies to DTSC within 30 days. <br /> The following manifest numbers were found on site, but are not on file with DTSC: <br /> -011392822FLE (11/14/18)(IMG 4120) <br /> -011392821 FLE (11/14/18)(IMG 4127) <br /> -011385011 FLE (8/9/18)(IMG 4128) <br /> -011385012FLE (8/9/18)(IMG 4125) <br /> -010867628FLE (6/5/18)(IMG 4122) <br /> -008549968FLE (11/18/16)(IMG 4123) <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 /> FA0023487 PR0541025 SCO01 02/06/2019 <br /> EHD 22-03 Rev.09/22/16 Page 5 of 12 RCRA Large Quantity Hazardous Waste Generator OIR <br />