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I <br /> opq!!6!Y, o SAN JOAQUIN COUNTY Date 1D 13 _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> s �• <br /> MEDICAL WASTE INSPECTION FORM <br /> a�tFOR�` <br /> FacilityName 7rine�4 �er f ilityAddress �DZ,t�O`rtinti` -u Q r�Lwalg <br /> FacilityContact t.;n.kw P?-V f5c^ Title C C O Phone# o 323_3qo <br /> INSPECTION TYPE: aRoutine ❑Complaint ❑Re-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> _1.HSC Section 117955-Large Quantity 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 y <br /> enforcement agency required to treat medical , (�S L9119i'►- <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the N f ; I 1 <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. t <br /> _5.HSC Section 117900-Shall not haul med a•, C l ti) US��/LC SS I 1, ongJ,jS Lj$u4 <br /> waste unless registered or obtained LQHE. 1 <br /> _6.HSC Section 117903-Shall not treat med C �vJ— LILL <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement 3 i W U C, 3 O J L t4 S LCULad <br /> agency. , <br /> Procedures Lal 1 v SSi � `Jc <br /> _8.HSC Section 117935-SQG MWMP �u t ' ®rlrn Sir Hyl [e.A Pr.T <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 /> 11.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 /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 11 8765-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 /> _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 /> 25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard , <br /> bag used. I <br /> 27.HSC Section 118275(g)-Pharm label/store (hrt1AM <br /> _28.HSC Section 118222-Incineration Required Inspe for Signature Received By Date <br /> 29 Other-Describe in narrative. <br />