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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.sigov.org/ehd <br /> RCRA Large Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> CVS Pharmacy#9830 6632 Pacific Ave,Stockton August 20,2018 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 115 CCR 66262.40(a)Failed to keep signed copy of manifests from the designated facility for three years. <br /> The following manifest numbers were not found on site: <br /> -008570609FLE(6/15116) <br /> -008680847FLE(1/27117) <br /> -01 0076417FLE(1/27/17) <br /> Hazardous waste generators shall retain copies of all manifests for three years or until a copy signed off by the <br /> destination facility is received. The signed off copy shall be retained and made readily available for review for three <br /> years. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator <br /> of the facility to which the generator's waste was submitted within 35 days of the date the waste was accepted by <br /> the initial transporter,the generator shall contact the transporter and/or the owner or operator of the designated <br /> facility to determine the status of the waste. If the generator did not receive a copy of the signed off copy of the <br /> manifest within 45 days of the date that the waste was accepted by the initial transporter,the generator shall submit <br /> an Exception Report that includes a legible copy of the missing manifest,and a cover letter signed by the generator <br /> explaining the efforts to locate the hazardous waste and the results of those efforts. Exception reports shall be <br /> submitted to: <br /> DTSC Report Repository <br /> Generator Information Services Section <br /> P.O.Box 806 <br /> Sacramento, CA 95812-0806 <br /> Immediately locate a copy of the missing manifests or prepare and submit an exception report to DTSC. Submit to <br /> the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. <br /> The following manifest numbers were found without a signed off copy from the destination facility: <br /> -008675487FLE(12/7115) <br /> -011387023FLE(3/14/18) <br /> -010867665FLE(6/12/18) <br /> Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three <br /> years and have them readily available for review. If the generator did not receive a copy of the manifest with the <br /> handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 35 <br /> days of the date the waste was accepted by the initial transporter,the generator shall contact the transporter and/or <br /> the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive <br /> a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial <br /> transporter,the generator shall submit an Exception Report that includes a legible copy of the missing manifest,and <br /> a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those <br /> efforts. Exception reports shall be submitted to: <br /> DTSC Report Repository <br /> Generator Information Services Section <br /> P.O.Box 806 <br /> Sacramento, CA 95812-0806 <br /> Immediately locate a copy of the missing manifests or prepare and submit an exception report to DTSC. Submit to <br /> the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. <br /> This is a Class II violation. <br /> FA0015387 PRO536194 SC001 08/20/2018 <br /> EHD 22-03 Rev.09/22/16 Page 6 of 12 RCRA Large Quantity Hazardous waste Generator OIR <br />