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SAN JOAQUIN COUNTY Date2Q.:,G <br />ENVIRONMENTAL HEALTH DEPARTMENT PR ggn <br />600 East Main Street SlocktDn, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacflftyNam--S—Ot�� FacilityAddrm-exm5-4L-&WW,4.k,,--� <br />FacilityContact 1164%vp-2. -'Phona--o <br />'INSPECTION TYPE: ARoutine 000MPIvint o.,. ax <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />— 4. HSC Section 1170654.orge Quantity <br />Cianerator shall register with the enforcement <br />HEALTH SAFETY CODE (HSC): <br />agency uW 12 town MaWt of jk!*ne!st0,!?f <br />medial waste <br />Z HSG Section 11 7903-Parmit from the <br />;.—Wmmt agency required 10 treat medical <br />Wfzak - =akla=& <br />arl,�,a Ila kli L^,ke f <br />wask <br />3. M Section 117890 -No tarp LQG shat <br />jo—nerate medical waste unless registered with the <br />enforcement agency. <br />Nsc Section 117mrsoo tot treats mod <br />N L <br />I I&K-le C=Af:rA& <br />waste shall register with enforcement agency. <br />HSC Section 117900,q*8 not haul med <br />waste unless registered or obtained LQHE. <br />_634SC Section 11I7903 -Shall not treat mod <br />trf& f <br />waste without pamilt from enforcement agency. <br />_7.HSC Section 1179034ommon Storage <br />feciffly shell be r egistared with 1=1 enforcement <br />agency. <br />Procedures <br />raldc� A2 4 is I :=i <br />__Bxsc Section 117936-$QG MWMP <br />9.HSC section 1171143-60r. Shall keep <br />4 <br />To—owds for 3 years. <br />_jC.HSC Section 117945-SOG not required to <br />register shall keep records for 2 years. <br />MSC Section I I MO -LOG shall fft MWMP <br />with enbwnent agency. <br />_12.NSC Section 117975 -LOO shat( keep <br />records for 3 years <br />Transportation <br />64 <br />_13, HSC Section 118030-LQHE application. <br />TreatmentfStomp <br />14.HSC Section 11181*Shall obtain a permit <br />a , <br />ht�iAA 4FI) & g2d&=12arz�- oung-'j=Y <br />r <br />W;m- the enforcement agency to treat medical <br />waste prior to=dM the we*. <br />S.HSC Section 11876" trealrnent records <br />I <br />shall be kept for 3 years. <br />_-16.HSC Section 118215 A0 medical waste <br />shall be treated pursuant lo this section. <br />17.14SC Section 11111220-Recoptcable, human <br />anatomicai pads shall be domed of by interment <br />unless otherwise hazardous. <br />18,HSC Section 118225-Trealed sbarps shall <br />hdostroyed or somehow prevent public access. <br />-&IMSC Section 11 827&W red bags. Path, <br />chemo shall be labeled property. <br />_XNSC Section 118280 -MW label & contain <br />21.HSC Section 111412116 -Sharps labelfcorbin <br />__4HSC Section 118295-Pmper clemn used. <br />__73.HSC Section 118307 -interim storage labeled <br />__XHSC Section 1183110-Ent-Josure labeled. <br />Section 118305-Camot muse drurm <br />__25.HSC <br />__26.HSC Section 117630AMmved biohazard <br />bag used. <br />__.27.HSC Section 118276(g)-Pharm labellstom <br />By _,/Daf <br />'P�ignature e <br />_28.HSC. Section 118222 -Incineration Required <br />29 Other-Descibe in narrative, <br />