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d <br /> "' Sanjay Marwaha, MD <br /> F l! KAISER PERMANEMEn Physician- in-Chief <br /> Corwin N . Harper, MHA , FACHE <br /> Senior Vice President/Area Manager <br /> August 5 , 2017 Central Valley Service Area <br /> Michelle Henry RECEIVE ® <br /> San Joaquin County Environmental Health Department AUG 18 2017 <br /> 1868 E . Hazelton Ave . <br /> Stockton , CA 95205 -6232 ENVIRONMENTAL HEALTH <br /> Dear Ms . Henry , <br /> PERMIT/SERVICES <br /> The purpose of this letter is to respond to the fifteen violations that were noted during the June <br /> 131 2017 Hazardous Waste inspection that occurred at the Stockton Medical Office . <br /> Violations : <br /> # 112 - CCR 66262 . 20 & #203 - HSC 25189 . 5 ( c ) : Kaiser requires that expired pharmaceuticals <br /> be managed as hazardous waste and shipped under manifest to a licensed hazardous waste <br /> transfer, treatment , storage or disposal facility . Expired pharmaceuticals are not to be sent to <br /> Inmar or any other facility unless the facility is licensed as a hazardous waste transfer, <br /> treatment , storage or disposal facility . Affected employees are being retrained on this <br /> requirement . For additional information , see response to # 118 regarding training . <br /> Warfarin waste was picked up . Refer to Manifests #010887223FLE <br /> Attachment : Manifests #010887223FLE <br /> #118 - CCR 66265 . 16 ( a -c ) & # 119 - CCR 66265 . 16 ( d ) : Refresher training of the 2017 <br /> Hazardous Materials & Waste Contingency Plan and hazardous waste label instructions have <br /> been provided to staff. <br /> Attachments : Sign - in sheets <br /> #403 - CCR 66265 . 173 : Department is practicing containers closed when not in use . <br /> Attachment : Photo <br /> #406 - CCR 66261 . 7 : Due to changes that were made in the Pathology department , the need for <br /> the large drum is no longer needed in the waste containment outside area . During the Clean <br /> Harbors pick up on June 20th , the drum was removed . <br /> #601 - CCR 66262 . 34 ( a ) : Warfarin & Aerosols waste was picked up . Refer to Manifests <br /> #010887223FLE & #010887224FLE <br /> Attachments : Manifests #010887223FLE & #010887224FLE <br /> #602 - CCR 66262 . 34 ( e ) ( 1 ) ( B ) : Silver Nitrate waste was picked up . Refer to Manifest <br /> #010887224FLE <br /> Attachment : Manifest #010887224FLE <br /> #605 - CCR 66262 . 34 ( f) : Photos of corrected and completed hazardous waste labels . <br /> Attachments : Photos <br /> #608 - CCR 66266 . 130 : Oil Filters waste was picked up . Refer to Manifest #010887224FLE <br /> Attachments : Manifest #010887224FLE <br /> Stockton Medical Office Manteca Medical Center Tracy Medical Offices Modesto Medical Offices <br /> 7373 West Lane, Stockton, CA 95210 1777 W. Yosemite Avenue, Manteca , CA 95337 2185 W. Grant Line Road, Tracy, CA 95377 4601 Dale Road, Modesto, CA 95356 <br />