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SAN JOAQUIN COUNTY Date ` -let.-1j <br />ENOIRONMENTAL HEALTH DEPARTMER PR 4 �3—eyy) a- <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName dernig 'e, 11�Arxk nFFacilityAddress 33 5-' - ��r ��_rurr?Palfes . <br />FacilityContact &C &4'e d <br />hone# 9�3A - -7,t 6c? <br />INSPECTION TYPE: Routine []Complaint []Re -inspection I <br />VIOLATION(S) <br />Registration <br />_ 1. HSC Section 117955 -Large Quantity <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <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 />HSC Section 117903 -Permit from the <br />_2. <br />enforcement agency required to treat medical <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 />HSC Section 117900 -Shall not haul med <br />--r _ <br />_5. <br />waste unless registered or obtained LQHE. <br />' <br />_6.HSC Section 117903 -Shall not treat med <br />&YI -17A <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />VVI <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />_ - <br />- <br />Section 117935-SQG MWMP <br />_8.HSC <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 />j, A <br />Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />With <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />` ` <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />cvN vt <br />_14.HSC Section 118135 -Shall obtain a permit <br />iA o --r l -r-, <br />11 <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <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 />_17.HSC Section 118220 -Recognizable human <br />&Vl t_' ` it <br />anatomical parts shall be disposed of by interment4�- <br />unless otherwise hazardous. <br />,- - <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 />X20.HSC Section 118280 -MW label & contain <br />Vk1'y1 <br />.� <br />I <br />Section 118285 -Sharps label/contain <br />, <br />_21.HSC <br />_ 22.HSC Section 118295 -Proper decon used. <br />-X23.HSC <br />Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />Section 118305 -Cannot reuse drums <br />_25.HSC <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />k27.HSC Section 118275(g)-Pharm label/store <br />28.HSC Section 118222 -Incineration Required <br />' for Signature Rec B Date <br />X29 Other -Describe in narrative. <br />- <br />