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S A N J D AR I N Environmental Health Department <br /> U j ;"� i y AMENDED <br /> 10/21/2019 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DOCTORS HOSPITAL OF MANTECA 1 1205 E NORTH ST, MANTECA October 03, 2019 <br /> Inspection report was amended on 10/4/19 to correct an error in a manifest number listed in the comments <br /> section of violation#110 and #111. The amended report replaces the initial inspection report. Complete and <br /> submit a copy of the Return to Compliance Certification form to the EHD with a statement documenting the <br /> corrective actions that have been or will be taken for each violation, and any supporting paperwork, within 30 <br /> days of receiving the amended inspection report. <br /> Starting September 1, 2018, all in-office CERS help will be provided at EHD hourly rate ($152). To schedule an <br /> appointment, please call (209)468-3420. <br /> Documents provided during inspection: return to compliance certification, statement of corrective actions, <br /> guidance for labeling, modified contingency plan <br /> Waste streams found: rapicide, hazardous pharmaceutical waste, BKC hazardous waste, used oil, alkaline <br /> batteries, scrap metal, a-waste <br /> First time minor violation corrected on site: <br /> #104 No modified contingency plan <br /> #105 No emergency coordinator <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: October 21, 2019 Inspector: Inspector Phone: <br /> Printed Name and Title: CHRISTINE LAWRENCE, EHS Trainee (209)468-3562 <br /> emailed to Dan Martin, daniel1.martin@tenethealth.com <br /> FA0000853 PR0516298 SCO01 10/03/2019 <br /> EHD 22-01 Rev.9/20/2019 Page 6 of 6 Small Quantity Hazardous Waste Generator OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />