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C-1 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 <br />(209)468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Facility Name f u-kijQx- aiia Mee. F=�,-,)(d.Facility Address _E�05 t J. N xr► r- 1-- <br />Facility <br />Facility Contact Title Mau a n,cn Phone # 4:�S - 3�2� <br />INSPECTION TYPE: i2koutine ❑Complaint ❑Reinspection <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 />e—nforcement 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 />t <br />HSC Section 117900 -Shall not haul medIBJ <br />l I (D 1 ZI ho 0hrk' - / C n,(�I Leo 111 l�AP <br />_5. <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />�ir�, S C)C C ry �% -L,r i A ori . <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 />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />„� n n j 1 ,�a�� (p I nj- <br />_10.HSC Section 117945-SQG not required to <br />r ster shall keep records for 2 years. <br />`Z 0 , <br />11.HSC Section 117960-LQG shall file MWMP <br />wi 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 />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />g�� <br />'� ,11 [rc� ?j`,n hngAL.� no S lJ`JCIS'tQ �i`YC�C1 2 <br />From the enforcement agency to treat medical <br />waste prior to treating the waste. <br />k <br />r1 �JnlxC_ A P <br />_15.HSC Section 118765 -All treatment records <br />shall be kept for 3 years. <br />—16. HSC Section 118215 -All medical waste shall <br />be treated pursuant to this section. <br />—17. HSC Section 118220 -Recognizable human <br />S _ <br />C trj; a A P,-,rc; 5 0 Pf \)I - K r e [3G <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 />1.HSC Section 118285 -Sharps label/contain <br />]122. HSC Section 118295 -Proper decon used. <br />23.HSC Section 118310 -Enclosure labeled. <br />24.HSC Section 118305 -Cannot reuse drums <br />_25.HSC Section 117630 -Approved biohazard <br />bag used. <br />_26.HSC Section 118275 (g) Pharm label/store <br />_27.HSC Section 118222 Incineration Only <br />Treatment <br />r-1 <br />dn4sp��ctoSignafureJ <br />ReceivecT By Date <br />28. Other -Describe in narrative. <br />PP) <br />