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San Joaquin County Environmental Health Department 1868 East Hazelton Avenue, Stockton, California 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s64ov.orq/ehd RCRA Large Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: CVS Pharmacy #9855 3320 N Tracy Blvd, Tracy September 21, 2018 SUMMARY OF VIOLATIONS (CLASS I, CLASS 11, or MINOR - Notice to Comply) Item # Remarks 114 CCR 66262.23(x)(4) Failed to send generator manifest copies to DTSC within 30 days. Generator copies of the following manifest numbers were not on file with DTSC: - 011433944FLE (7/18/18) (see photo IMG 1887) - 011433945FLE (7/18/18) (IMG 1888-1889) - 010867498FLE (5/2/18) (IMG 1890) - 01 0867499FLE (5/2/18) (IMG 1891-1892) - 010176014FLE (2/5/18) (IMG 1893-1894) - 008629309FLE (11/27/17) (IMG 1895-1896) - 008629307FLE (11/27/17) (IMG 1897) - 009149121 FLE (9/5/17) (IMG 1898) - 008548750FLE (6/15/17) (IMG 1899) - 010110099FLE (4/3/17) (IMG 1900) - 008572012FLE (7/21/16) (IMG 1901) The generator manifest copy shall be submitted to DTSC for every shipment on a manifest when California is either the generator state or the destination or consignment state. The generator manifest copy shall be mailed to: DTSC Generator Manifests P.O. Box 400 Sacramento, CA 95812-0400 Immediately mail a copy of the manifests listed and ensure that copies of all generator manifests are sent to DTSC within 30 days of shipping hazardous waste. This is a Class II violation. 115 CCR 66262.40(a) Failed to keep signed copy of manifests from the designated facility for three years. Manifest number 011433944FLE (7/18/18) (see photo IMG 1887) were found without a signed off copy from the destination facility. Hazardous waste generators shall retain copies of all manifests signed off by the destination facility on site for three years and have them readily available for review. If the generator did not receive a copy of the manifest with the handwritten signature of the owner or operator of the facility to which the generator's waste was submitted within 35 days of the date the waste was accepted by the initial transporter, the generator shall contact the transporter and/or the owner or operator of the designated facility to determine the status of the waste. If the generator did not receive a copy of the signed off copy of the manifest within 45 days of the date that the waste was accepted by the initial transporter, the generator shall submit an Exception Report that includes a legible copy of the missing manifest, and a cover letter signed by the generator explaining the efforts to locate the hazardous waste and the results of those efforts. Exception reports shall be submitted to: DTSC Report Repository Generator Information Services Section P.O. Box 806 Sacramento, CA 95812-0806 Immediately locate a copy of the missing manifests or prepare and submit an exception report to DTSC. Submit to the EHD a copy of the signed off copy of the manifests or a copy of the exception report submitted to DTSC. This is a Class II violation. FA0003286 PR0535759 SCO01 09/21/2018 EHD 22-03 Rev. 09/22/16 Page 6 of 12 RCRA Large Quantity Hazardous Waste Generator OIR