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SAN J 0 A Q U 1 N Environmental Health Department <br /> u ; i y 1 Iii AMENDED <br /> 2/10/2021 <br /> Small Quantity Hazardous Waste Generator Inspection Report <br /> Facility Name: Facility Address: Date: <br /> MANTECA DENTAL CARE 1007 S MAIN ST, MANTECA February 09, 2021 <br /> An inspection checklist was provided to the facility operator on the day of inspection. A complete report was <br /> finished on February 10, 2021 and replaces the initial checklist. <br /> Complete and submit a copy of the Return to Compliance Certification form to the EHD with a statement <br /> documenting the corrective actions that have been or will be taken for each violation, and any supporting <br /> paperwork, within 30 days of receiving the complete inspection report. <br /> An EPA ID number will be needed if the facility generates hazardous waste other than universal waste-dental <br /> amalgam and photo fixer being recycled for silver content. Go here to apply for an ID number: <br /> https://dtsc.ca.gov/apply-for-hazardous-waste-epa-id-number/ . <br /> Documents provided during inspection: Modified contingency plan. <br /> Waste streams found: ImageMax Developer Cleaner, ImageMax Developer, ImageMax Fixer, <br /> mercury-containing dental amalgam, universal waste electronic devices, universal waste batteries. Empty <br /> nitrous compressed gas cylinders are returned to the gas vendor. <br /> The facility completed hazardous waste generator notification on the California Environmental Reporting System <br /> and completed the modified contingency plan during the inspection. <br /> Robert McClellon and Sandip Singh of the EHD were on-site at the same time, conducting the Medical Waste <br /> Management Act(MWMA) inspection. <br /> Wastes generated by the facility that are covered by the MWMA: Anesthetics such as Articaine, Sedation pills <br /> such as Valium, and items contaminated with blood or bodily fluids. <br /> Mary Tran stated that dental tool sterilization is done using steam. Chemical sterilization has not been done for <br /> seven years. <br /> Mary Tran stated that they don't need to dispose of toothpaste or Iisterine. <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: February 10, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: GARRETT BACKUS, Lead Senior REHS (209)468-2986 <br /> Mary Tran, CFO <br /> FA0026366 PR0546502 SCO01 02/09/2021 <br /> EHD 22-01 Rev.9/16/2020 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.sjgov.org/EHD <br />