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SAN JOAQUIN COUNTY Date �_-Ict- I ( <br />EN IRONMENTAL HEALTH DEPARTMER PR Liszx ,,� <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName tti� MeyncA2: --LtW d�tFacilityAddress — ��r <br />�JLr.r-c,.nxLp <br />FacilityContact G"te. r14t,,,e_ s <br />INSPECTION TYPE: IRftoutine <br />one# <br />❑Complaint []Re -inspection <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the generation of <br />medical waste. <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />-- L` L <br />/ <br />-�1�(V\xo � G�h'c� 1K --Pr') � 4fine-- L-A, <br />fir• <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 />_5. HSC Section 117900 -Shall not haul med <br />- � e -N � . l '.A ),/,r� �" � ct A& MC -YL ' <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />TT <br />J Ar <br />— <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />�. <br />WI '- CCA <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />2 i <br />\ ffii <br />a A L4 ���� C4_.l Sl ?f 1'1 t' �t•�'2" 1( 74 C' -r -v'16 li?, S <br />8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />r' i?ra �'� \ /D�_� ►ri�l'1t �� N -t i� �L.t C-6 <br />1 <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 />, <br />i ) <br />Q <br />C r'rY1 A t h r Xft�� --n La re- I <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />T <br />Transportation <br />���s�.fS YL.6A Aar- ✓c r?i.v� S3\ i7 <br />ter' ' S -ry� sc� i7� <br />� �� <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />l i�t.2 CC", C -7 A 'n k"(1 <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />g,\ P. VLA H <br />_15.HSC Section 118765 -All treatment records <br />shall be kept for 3 years. <br />�- L <br />�� ��16.HSC <br />l� `���� t�1Yt�01ri?P✓1 I7 -,t <br />e <br />_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 />r "— <br />unless otherwise hazardous. <br />1\ _\ <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 />_2C20.HSC Section 118280 -MW label & contain <br />_21.HSC Section 118285 -Sharps label/contain <br />_ 22.HSC Section 118295 -Proper decon used. <br />�XMMSC Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />t � -' '� <br />_25.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />_,?U7.HSC Section 118275(g)-Pharm lab, Vstore <br />! 7 <br />28.HSC Section 118222 -Incineration Required <br />a29 Other -Describe in narrative. <br />for Signature Ree By Date <br />