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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.sogov.org/ehd RCRA Large Quantity Hazardous Waste Generator Inspection Report Facility Name: Facility Address: Date: CVS PHARMACY#16294 2355 W KETTLEMAN LN, LODI March 08, 2019 SUMMARY OF VIOLATIONS (CLASS I,CLASS II,or MINOR-Notice to Comply) Item# Remarks 113 CCR 66262.23(a) Failed to complete, sign or date manifest; or obtain dated signature of transporter. The following manifest were found on site, and do not appear to include the weight of the empty warfarin containers in the total amount of hazardous waste generated: -011386161 FLE (2/20/19)(see photos IMG 4836-4837) -011385311 FLE (12/3/18)(IMG 4839 -011434014FLE (9/7/18)(IMG 4842) -005888271 FLE (6/14/18)(IMG 4844) -010788992FLE (1/9/18)(IMG 4846) -008553854FLE (7/21/17) -009156031 FLE (4/29/17) -008631757FLE (11/16/16) -008570552FLE (8/29/16) The generator and waste sections of the uniform manifest shall be completed and signed and dated by the generator. The transporter shall also sign and date the manifest. Ensure that all manifests are properly completed for any transport of a hazardous waste for off-site transfer, treatment, storage or disposal. 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 011434014FLE(9/7/18)(IMG 4840,4842)was 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. FA0023488 PR0541026 SCO01 03/08/2019 EHD 22-03 Rev.09/22/16 Page 5 of 10 RCRA Large Quantity Hazardous Waste Generator OIR