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MEDICAL WASTASPECTION REPORT Date: San Joaquin County Environmental Health Department j. 1868 E. Hazelton Ave., Stockton, CA 95205 Program Record: +.. (209) 468-3420 Program t F www.siogv.org/ehd Element: g hb h f (Logs bnsS ,is -1-0 Facility Name Address City Zip Code Lodi Outpatient Surgical Center 521 s. ham In. Lodi 95242 Facility Contact Title Phone Number Email Inspection Type Kippy Pogue Administrator (209) 333-0905 Routine The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC) Print: Print: REHS nature: Phone: 333-0905 Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 1 of 2 EH -08/2015 Registration Treatment ❑ 1 HSC 117890 - No LOG shall generate medical waste unless ❑ 17 HSC 118130 -All onsite medical waste treatment facilities shall registered with the EA. g • be permitted by the EA. ❑ 2 HSC 117950 - LOG shall register with the EA prior to ❑ 18. HSC generating medical waste. 118165 -All treatment records shall be kept for 3 years. ❑ 3 HSC 117903 - Permit from the EA is required prior to treating ❑ 19 HSC 118215 - All medical waste shall be treated pursuant to medical waste. this section. ❑ 4• HSC 117925 - SQG that treats medical waste onsite shall HSC 118220 - Pathology waste of a human nature shall be register with the EA. ❑ 20. disposed of by interment, incineration, or an approved 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. ❑ 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. [:1 7 HSC 117890 - LOG shall notify EA 72 hours prior to in Containment/Stora e g participating 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. HSC 118275 - Medical, biohazardous, sharps, trace chemo, Records/Documentation ❑ 24 pathology, or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. ❑ 9. HSC 117935 - Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280 - Biohazard bags shall be containerized and stored pursuant to this section. ❑ 10. HSC 117943 - SQG required to register shall maintain E]26 HSC 118285 - Sharps waste shall be containerized and stored treatment and shipping and tracking records for 3 years. pursuant to this section. ❑ 11, HSC 117945 - SQG not required to register shall maintain 27 HSC 118295 - Containers shall be washed and decontaminated information document and transportation records for 3 years. pursuant to this section. ® 12. HSC 117960 - LOG shall file MWMP with the EA. ❑ 28 HSC 118305 - Reuseable drums or conainters used for medical waste shall not be used for other storage. ❑ 13 HSC 117975 - LOG 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. Transportation ❑ 30 HSC 118310- Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946 - MOT exemption requirements for SQG. Other ❑ 15. HSC 117976 - MOT exemption requirements for LOG. ❑ 31. ❑ 16. HSC 118032 - Pharmaceutical waste hauling exemption. ❑ 32. Print: Print: REHS nature: Phone: 333-0905 Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 1 of 2 EH -08/2015