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FA0003286 PRO535759 SCO01 09/21/2018 <br />EHD 22-03 Rev, 09/22/16 Page 4 of 12 RCRA Large Quantity Hazardous Waste Generator OIR <br />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.orcl/ehd <br />RCRA Large Quantity Hazardous Waste Generator Inspection Report <br />Facility Name: <br />CVS Pharmacy #9855 <br />Facility Address: <br />3320 N Tracy Blvd, Tracy <br />Date: <br />September 21, 2018 <br />Universal Waste <br />716 <br />CCR 66273.40(a)(4) <br />UW handler sending devices/CRTs/CRT glass to foreign destination failed to submit notification <br />❑ V <br />❑ R <br />❑ COS <br />717 <br />CCR 66273.32(b) <br />Failed to obtain an ID number from DTSC prior to accumulating >5000kg of non-RCRA UW <br />❑ V <br />❑ R <br />❑ COS <br />718 <br />CCR 66273.32(d) <br />Failure of a UW handler to submit a complete annual report to DTSC <br />❑ V <br />❑ R <br />❑ COS <br />719 <br />CCR 66273.38 <br />Failure of UW handler to transfer UW to the appropriate destination facility <br />❑ V <br />❑ R <br />❑ COS <br />Appliance Recycler <br />801 <br />HSC 25211.4 <br />Failure to obtain Certified Appliance Recycler certification (CAR) <br />❑ V <br />❑ R <br />❑ COS <br />802 <br />HSC 25211.2, 25211.3 <br />Failure of a CAR to provide docs that materials that require special handling have been removed <br />❑ V <br />❑ R <br />❑ COS <br />803 <br />HSC 25212 <br />Failure of a CAR to properly remove and dispose of all materials that require special handling <br />u V <br />❑ R <br />❑ COS <br />Other Violations <br />3110 <br />See below <br />Unlisted Administration/Documentation violation <br />❑ V <br />❑ R <br />❑ COS <br />3120 <br />See below <br />Unlisted Training violation <br />❑ V <br />❑ R <br />❑ COS <br />3130 <br />See below <br />Unlisted Operations/Maintenance violation <br />❑ V <br />❑ R <br />❑ COS <br />3140 <br />See below <br />Unlisted Release/Leaks/Spills violation <br />❑ V <br />❑ R <br />❑ COS <br />3150 <br />See below <br />Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment violation <br />❑ V <br />❑ R <br />❑ COS <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS Il, or MINOR - Notice to Comply) <br />Item # <br />Remarks <br />FA0003286 PRO535759 SCO01 09/21/2018 <br />EHD 22-03 Rev, 09/22/16 Page 4 of 12 RCRA Large Quantity Hazardous Waste Generator OIR <br />