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6 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL EALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date -71 1111-. <br />PR pNSD®SS <br />FacilityName <br />, <br />1 1 • . tat t4. ., Ad tit . <br />i <br />G " Y _'§" i_ t„_ / P :l. Y,, tAm <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the generation of <br />medical waste. <br />HSC Section 117903 -Permit from the <br />c, We 12. nn U 1C� lU�i l�+�S b SCf`V� /�L1(s n `1 fll S <br />_2. <br />enforcement agency required to treat medical <br />` <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <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 />O e� F UIC�,t h 'In U L e C, <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 />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />3 o n P <br />1 J` <br />_8.HSC Section 117935-SQG MWMPmWD <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />, <br />_11.HSC Section 117960-LQG shall file MWMP <br />With enforcement agency. <br />s Tcµ A tt t CLL) 1 S <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />u` t ' <br />_13. HSC Section 118030-LQHE application. <br />Treatrnent/Storae <br />14.HSC Section 118135 -Shall obtain a permit <br />W 1 ; ' <br />fro_m the enforcement agency to treat medical <br />waste prior to treating the waste. <br />, <br />1 S + (' <br />e <br />J ,11 Utl <br />_15.HSC Section 118765 -All treatment records <br />shall be kept for 3 years. <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />} <br />Tia Ckc S 'Z <br />_17.HSC Section 118220 -Recognizable human <br />13 <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 />_25.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />- <br />'� + <br />_27.HSC Section 118275(g)-Pharm label/store <br />Insp for Signature Received By ate <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />