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{ MEDICAL WAST•JSPECTION REPORT • Date: yy� --Tc� San Joaquin County Environmental Health Department Program ;j 1868 E. Hazelton Ave., Stockton, CA 95205 Record: (209) 468-3420 Program =' www.siogv.org/ehd Element: \\ 11--) 11-) q52-0 Facility Name Address City Zip Code !.od: 0•. as fer�?s t.�.uw1 �.. ei sZ► s . Ft.rr. l d• 2 - Facility Facility Contact Title Phone Number Email Inspection Type e1= O'k-stno L7,0-1323 --040S 0.o•4inw4- The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC). Received by: Print: Specialist: Print: .� Reinspecion on/about: EH -08/2015 A reinspection fee of $4Wper hour may be charged. I S2. Phone: 60gl 3'3A— 01) OS- FEE go- Lavl Page 1 of 2 00 yy� --Tc� ❑ 1' HSC 117890 - No LQG shall generate medical waste unless ❑ 17 HSC 118130 - All onsite medical waste treatment facilities shall registered with the EA. be permitted by the EA. ❑ 2' HSC 117950 - LQG shall register with the EA prior to ❑ 18. HSC 118165 All treatment records shall be kept for 3 years. generating medical waste. ❑ 3. HSC 117903 - Permit from the EA is required prior to treating El 19. HSC 118215 - All medical waste shall be treated pursuant to medical waste. this section. HSC 118220 - Pathology waste of a human nature shall be ❑ 4. HSC 117925 - SQG that treats medical waste onsite shall ❑ 20. disposed of by interment, incineration, or an approved register with the EA. alternative. HSC 117900 - Shall not haul medical waste unless registered, HSC 118222 - Contaminated pathology waste, trace chemo ❑ 5. common carrier, trauma scene practitioner, or exempted ❑ 21. waste, or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. El 6' HSC 117928 - Common Storage Facility shall have permit ❑ 22' HSC 118225 - Sharps waste shall be treated pursuant to this issured by the EA. section. El7.:onta>fnm�nt/Si�+rag HSC 117890 - LQG shall notify EA 72 hours prior to��n„��hih�j�h�i`h�W � participating in temporary event. ❑ 8' HSC 117895 - SQG shall notify EA 72 hours prior to ❑ 23. HSC 117630 - Biohazard bag shall meet the standards set forth participating in temporary event. in this section. W er i HSC 118275 -Medical, biohazardous, sharps, trace chemo, 141�1� �� s �0 ❑ 24.pathology, or pharmaceutical waste shall be segregated and 9 , 101D�iGltllle'ntltlQrt P& r -�contained pursuant to this section. The container shall be - h, . _=)i properly labeled. El25 HSC 118280 - Biohazard bags shall be containerized and ❑ HSC 117935 Registered SQG shall file MWMP the EA. 9. - with stored pursuant to this section. El 10. HSC 117943 - SQG required to register shall maintain El 26' HSC 118285 - Sharps waste shall be containerized and stored treatment and shipping and tracking records for 3 years. pursuant to this section. ❑ HSC 117945 - SQG not required to register shall maintain El 27' HSC 118295 - Containers shall be washed and decontaminated 11. information document and transportation records for 3 years. pursuant to this section. ❑ 12. HSC 117960 LQG file MWMP the EA. ❑ 28. HSC 118305 - Reuseable drums or conainters used for medical shall with waste shall not be used for other storage. ❑ 13. HSC 117975 - LQG shall maintain treatment and shipping and ❑ 29. HSC 118307- Intermediate storage area shall be secured and tracking documents for 2 years. marked with proper signage. - i ❑ 30. HSC 118310 - Designated accumulation area shall be secured br3�oNo� .. F (� ! ai i,+ rvYr,p and marked with proper signage. ❑ 14. HSC 117946 MOT exemption requirements for SQG.f�f ,ns, i d ❑ 15. HSC 117976 - MOT exemption requirements for LQG. ❑ 31. El16. HSC 118032 - Pharmaceutical waste hauling exemption. El 32. Received by: Print: Specialist: Print: .� Reinspecion on/about: EH -08/2015 A reinspection fee of $4Wper hour may be charged. I S2. Phone: 60gl 3'3A— 01) OS- FEE go- Lavl Page 1 of 2