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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 v.org/ehd Small Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: California Health Care Facility 7707 Austin Rd, Stockton September 04, 2014 Universal Waste 710 HSC 25201.16(h)(4) No written operating procedure for aerosol can processing _V R COS 711 HSC 25201.16(j) Failed to submit or amend notification for aerosol can processing a V c R COS 712 CCR 66273.34 Failed to label universal waste to identify type of universal waste ■V R COS 713 CCR 66273.35 Stored UW onsite greater than one year or was unable to demonstrate the time UW has been stored ■V ❑R COS 714 CCR 66273.36 Failed to train employees and maintain records on UW handling and emergency procedures ■V ❑R COS 715 CCR 66273.39 I Failed to keep complete records of each shipment of universal waste for three years _V ❑R -COS Other Violations 3010 See below Unlisted Administration/Documentation violation ■V a R ❑COS 3020 See below Unlisted Training violation ❑V ❑R c COS 3030 See below Unlisted Operations/Maintenance violation ❑V o R -COS 3040 See below Unlisted Release/Leaks/Spills violation ❑V R COS 3050 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation c V 7R -COS SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) em#1 Remarks 102 CCR 66262.11, 66262.40(c) Failed to determine if a waste is a hazardous waste or retain waste analysis on site for 3 years. 1) Metal fines are being generated from a band saw utilized for pipe cutting, the saw is located in the onsite welding shop. No waste disposal records were observed onsite for the metal fines disposal, and no storage container for metal fines storage were observed onsite. Any person who generates a waste shall determine if the waste is a hazardous waste. Immediately make a hazardous waste determination for the generated metal fines and manage it according the Title 22 hazardous waste regulations. Particles 100 microns or smaller must be handled as hazardous waste if the metal is determined to be a hazardous waste. Submit a statement and supporting documentation explaining how this waste was managed by November 9, 2014. 2) The following medications are being supplied to patients at this facility (in form of inhalers which use hydroflouroalkane propellant):Albuterol, Beclomethasone, BUdesonide/ Formoterol, Fluticasone, Ipratropium, Levalbuterol, Mometasone/ Formoterol. These waste medications were observed throughout the facility in small RCRA hazardous waste containers. During the September 23, 2014 inspection, Mr. Sasson stated that he now believes that these used/waste inhalers are not RCRA hazardous waste and at this time their facility is looking into waste re-classification. Furthermore, according to an email correspondence, received by the EHD on October 6, 2014 from Donna Chun, PIC (pharmacist), "These chemical substances are not characterized as hazardous waste when discarded."Any person who generates a waste shall determine if the waste is a hazardous waste and manage it according the Title 22 hazardous waste regulations. Immediately make a hazardous waste determination for the waste inhalers, and manage this waste stream according the Title 22 hazardous waste regulations. Submit a statement and supporting documentation explaining how this waste was managed by November 9, 2014. ?p14 Note: This is a secure facility and since sampling equipment was not on the pre-approved equipment list upon facility entry, no samples were collected in connection with these violations at the time of inspection. Received by(initial): Inspector: Phone: Date: ELENA MANZO, REHS (209) 953-7699 09/04/2014 Page 3 of 9