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Date OTVIQ✓ <br />Record IDa,< naa2� <br />Prog Elem <br />SAN JOAQUIN COUNTY <br />ENVIPONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave.,9) 468 -or, Stockton, CA 95202 <br />MEDICAL WASTE INSPECTION FORM <br />-'Facility Address <br />Facility Name <br />TiTitl Phone <br />Itl <br />Facility Contact I <br />�Rein <br />INSPECTION TYPE: Routine <br />ocomplaint <br />VIOLATION(S) <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />Registration > <br />HEALTH & SAFETY CODE (HSC): <br />1. HSC Section 117955 -Large Quantity <br />_ <br />Generator shall register with the enforcement <br />to commencement of the Generation <br />1 <br />agency prior <br />of medical waste. <br />2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />waste. <br />HSC Section 117890 -No large LOG shall <br />—3. <br />generate medical waste unless registered with <br />the enforcement agency. <br />HSC Section 117895-SQG that treats med <br />` w4. <br />aste shall register with enforcement agency. <br />HSC Section 117900 -Shall not haul med <br />_5. <br />waste unless registered or obtained LQHE. <br />Section 117903 -Shall not treat med <br />_6.HSC <br />waste without permit from enforcement agency. <br />Section 117908 -Common Storage <br />_7.HSC <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />Section 117935-SQG MWMP <br />_8.HSC <br />9.HSC Section 117943-SQG Shall keep <br />re_cords for 3 years. <br />Section 117945-SQG not required to <br />_10.HSC <br />register shall keep records for 2 years. <br />Section 117950-LQG shall file <br />_11.HSC <br />MWMP with enforcement agency. <br />Section 117975-LQG shall keep <br />_12.HSC <br />Te—cords for 3 years. <br />Transportation <br />NSC Section 118030-LQHE application. <br />_13. <br />Treatment/Storage <br />Section 118135 -Shall obtain a <br />_14.HSC <br />permit from the enforcement agency to treat <br />medical waste prior to treatingthe waste. <br />Section 118765-Ati treatment <br />_15.HSC <br />records 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 <br />human anatomical parts shall be disposed of by <br />interment unless otherwise hazardous. <br />Section 116225 -Treated sharps shall <br />_18.HSC <br />be destroyed or somehow prevent public access. <br />Section 118275 -MW red bags, path, <br />_19.HSC <br />chemo shall be labeled properly. <br />Section 118280 -MW label & contain <br />�20.HSC <br />—21.HSC Section 118285 -Sharps labellcontain <br />Section 118295 -Proper decon used. <br />�22.HSC <br />23.1-18C Section 118310 -Enclosure labeled. <br />_24.HSC Section 1 i 8305 -Cannot reuse drums <br />Section 117630 -Approved biohazard <br />25.HSC <br />bag used. <br />—26. Other -Describe in narrative. <br />Received By <br />gp CtOr 1gC18tU �`' <br />