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SAN JOAQUIN COUNTY Date '3/am 1 <br />ENVIRONMENTAL HEALTH DEPARTMENT PR 04Sc7SS <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />VIOLATION(S) <br />Registration <br />#� . <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />NJ <br />medical waste. <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />_, JO <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />ttl <br />I� I I'1 g 10 „ Y1e-' a A <br />t,"kA A f1Q� ►> �t?� �r� C� <br />�-`�� "---- <br />t A)'1AS�A {`(�rg n r, ,� m� 11�. P1Uf1 (T1wiIn p 5 8Ll 1` q <br />waste. <br />HSC Section 117890 -No large LQG shall <br />L <br />�C� S c,s-r.(1 1�1t f(1t I�+i CgUJU, -A ItnaW' 4{l� A�`Zg- <br />_�(19c, <br />a4)cSSR T <br />_3. <br />generate medical waste unless registered with the <br />enforcement agency. <br />4. HSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />Lk LA 1 <br />waste without permit from enforcement agency. <br />_THSC Section 117908 -Common Storage <br />Tshall be registered with local enforcement <br />agency. <br />Procedures <br />�, FU,i, L <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />ke, wwlr _ <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />K11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />- 13. HSC Section 118030-LQHE application. <br />Treatrnent/Storage <br />L y <br />a n1tA� t l 11SA-jxxr t D (31A4- � s aJ1. ref <br />T <br />_14.HSC Section 118135 -Shall obtain a permit <br />(P -Lo tLi-% <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />15.HSC Section 118765 -All treatment records <br />;—hall be kept for 3 years. <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />_18.HSC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />_19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />20.HSC Section 118280 -MW label & contain <br />_21.HSC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />_23.HSC Section 118307 -Interim storage labeled <br />24.HSC Section 118310 -Enclosure labeled. <br />^� <br />-9 • <br />Insp for Signature R ceiv d By Date <br />25.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />_27.HSC Section 118275(g)-Pharm label/store <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />