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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.slaov.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 118 CCR 66265.16(a-c)Failed to complete training on hazardous waste management and emergency response procedures. Based on the types of violations observed,the facility employees are not trained on proper hazardous waste(HW) handling or the training provided has been inadequate. The following observations were made at the time of inspection: -The following pharmaceuticals were found in an open blue bin labeled "Weekly StrongPak Staging Bin—Amber Vials—Loose Pills"(IMG 4855,4868): -A StrongPak Hazardous Waste bag containing three smaller StrongPak Hazardous Waste bags, each bag containing loose pills of a different type(IMG 4857). -A bag of used shringrix vials(IMG 4858). -An aerosol can of Dermoplast Pain Relieving Spray(IMG 4859-4860).According to Hanh Pham, the pharmacy manager,the spray was returned to the pharmacy by a patient. Hanh did not know whether or not the spray would be placed in the pharmacy's hazardous waste tote. -Four small bags, labeled as"Venlafaxine HCL 75 MG Tablet,""CVS Ibuprofen 200 MG Caplet,""Anastrozole 1 MG Tablet,"and "Klonopin 0.5 MG Tablet,"each containing loose or broken pills. -A StrongPak Waste bag containing smaller bags which contained different types of loose pills(IMG 4864). -A StrongPak Waste bag containing a Boostrix TDAP Vaccine Syringe(IMG 4864). -A bottle of Oxybutynin 5 MG Syrup, expired 2/1/2019(IMG 4866). Hanh stated she had not had a chance to place the StrongPak Hazardous Waste and StrongPak Waste bags containing the loose pills and the Boostrix TDAP Vaccine Syringe, and the bag of used shringrix vials, into the pharmacy's hazardous waste tote(IMG 4872).According to Hanh, pharmaceuticals placed in the open blue StrongPak bin are processed once a week, at which point the pharmaceuticals are placed in the tote for Genco expired returns or the pharmacy's hazardous waste tote. Personnel who handle hazardous waste shall be trained within six months of assignment and take part in an annual review of the initial training received. At a minimum, the training program shall be designed to ensure that facility personnel are able to respond effectively to emergencies by familiarizing them with emergency procedures, emergency equipment, and emergency systems, including where applicable: 1. procedures for using, inspecting, repairing, and replacing facility emergency and monitoring equipment; 2. key parameters for automatic waste feed cut-off systems; 3. communications or alarm systems; 4. response to fires or explosions; 5. response to ground-water contamination incidents; and 6. shutdown of operations. The owner or operator shall maintain the following documents and records at the facility: 1. the job title for each position at the facility related to hazardous waste management, and the name of each employee filling each job; 2. written job description for each position listed above; 3. written description of the type and amount of both introductory and continuing training that will be given to each person filing positions listed above; 4. records that document that the training has been given to and completed by facility personnel. Training records on current employees shall be kept until closure of the facility. Training records on former employees shall be kept for at least three years from the date the employee last worked at the facility. Immediately provide employees with initial or refresher hazardous waste training. Submit a copy of the roster and FA0023488 PR0541026 SCO01 03/08/2019 EHD 22-03 Rev.09/22/16 Page 7 of 10 RCRA Large Quantity Hazardous Waste Generator OIR