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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0541027
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
1/6/2022 2:42:35 PM
Creation date
1/6/2022 2:17:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0541027
PE
2247
FACILITY_ID
FA0023489
FACILITY_NAME
CVS PHARMACY #16223
STREET_NUMBER
2800
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
Tracy
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2800 NAGLEE RD STE B
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Por your reference, a <br />summary of key manifest <br />sections include: <br />NOTE: This manifest copy <br />should be completed <br />through Item 17. <br />You must keep a copy of <br />the manifest at the store in <br />the EH&S Program Binder. <br />Item <br />Description <br />Each store must have a twelve -digit identification number in this section. Note that this number is <br />store specific. This is your store's "EPA ID Number.' <br />Every manifest has a unique tracking number that will be pre- printed on the manifest. Use this <br />4 <br />number to match up subsequent copies of the manifest that will be mailed to the store. <br />.^.�e«� <br />5 <br />returned to the store. <br />t <br />iftiiW � <br />have more than one transporter that handles the waste. <br />This section identifies the TSDF or final destination of your waste. This is the company that will <br />8 <br />send the store the final copy of the manifest. <br />Ma,tm �MRKw <br />This section will list all of the hazardous waste you are shipping. Each waste should have a <br />9 <br />proper Department of Transportation (DOT) shipping name as previously determined by <br />Stericycle and the CVS Health Corporate Office. <br />Front Store Management Team colleagues that have completed the required training and have <br />the authority to sign the manifest will sign and date this section. Do not sign the manifest if you <br />15 <br />' <br />UM1lao•cso <br />st <br />store colleague's signature. <br />_ <br />The transporter (i.e. representative from Stericycle) will sign this section. Any additional <br />17 <br />transporters that may handle the waste prior to its final disposal will also sign this section. <br />.y�,��� <br />trrn.r.mt xwi�rx�f <br />of of aa•�fs+f <br />� <br />r• <br />� <br />cVnMY VrM> �V(t 'ff Egfn 1 <br />K <br />.M.�ea. <br />K a] 01?16 <br />IF <br />K Aw.a«�5f tK.M fAgo <br />sr <br />b.+levaa i6.RnytMIVM <br />y{£' <br />(y�y{�y <br />e� <br />ti <br />IM .g .._ <br />.... <br />Item <br />Description <br />Each store must have a twelve -digit identification number in this section. Note that this number is <br />store specific. This is your store's "EPA ID Number.' <br />Every manifest has a unique tracking number that will be pre- printed on the manifest. Use this <br />4 <br />number to match up subsequent copies of the manifest that will be mailed to the store. <br />The store address in this section must be correct to ensure that mailed copies are properly <br />5 <br />returned to the store. <br />This section will list the transporter (i.e., representative from Stericycle) of your waste. You may <br />6 & <br />have more than one transporter that handles the waste. <br />This section identifies the TSDF or final destination of your waste. This is the company that will <br />8 <br />send the store the final copy of the manifest. <br />This section will list all of the hazardous waste you are shipping. Each waste should have a <br />9 <br />proper Department of Transportation (DOT) shipping name as previously determined by <br />Stericycle and the CVS Health Corporate Office. <br />Front Store Management Team colleagues that have completed the required training and have <br />the authority to sign the manifest will sign and date this section. Do not sign the manifest if you <br />15 <br />have any concerns regarding the information provided in Section 9 of the manifest or not all of <br />your waste was removed. Do not let your Stericycle technician leave without the appropriate <br />store colleague's signature. <br />The transporter (i.e. representative from Stericycle) will sign this section. Any additional <br />17 <br />transporters that may handle the waste prior to its final disposal will also sign this section. <br />17 <br />
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