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�j <br />• <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date__pLUL(p <br />Record ID > <br />Prog Elem-` <br />Facility Name I_.C`As PhJV Facility Address S <br />Facility Contact a. ,al o Title � P n <br />INSPECTION TYPE: Moutine <br />❑Complaint <br />VIOLATION(S) <br />❑Reinspection <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 <br />of medical waste.P <br />_2. HSC Section 117903 -Permit from the <br />i <br />nee4is <br />enforcement agency required to treat medical <br />waste.. <br />_3. HSC Section 117890 -No large LQG shall <br />11 <br />�'1/] SI S , �� , h� 1'I� U�-"G2d �>u o(f�ln <br />generate medical waste unless registered with <br />the enforcement agency. <br />4. HSC Section 117895-SQG that treats med <br />- <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med <br />t 1irC, ] n,,-+ <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />! 1 jj Lo ou -a— t" rhe.. Sh /1_� iQ v TAjor,-f n c <br />— <br />c <br />Y`n i v� c! C n Mr�S 17 ► KA -ACs S <br />waste without permit from enforcement agency. <br />_THSC Section 117908 -Common Storage <br />_r <br />ry-*- \oM G P r', -t• ct � i r j' g C '�-:7-C <br />facility shall be registered with local enforcement <br />agency. <br />Procedures#-6�a;� <br />c <br />-- <br />Q�t <br />8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years.; <br />_10.HSC Section 117945-SQG not required to <br />D C . 1 cam- % t i� i ✓"Sc� /' _ti 7�' ' �-r <br />—� t <br />shall keep records for 2 years. <br />o w Lt 4.t A- � ry" e Jl- �"� -, f <br />y <br />*register <br />11.HSC Section 117960-LQG shall file <br />WMP with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />1EZ42-1i, ,esi+-Tl►0 �stt�lGv 8:M47— L&A <br />_ <br />C C" <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a <br />J <br />permit from the enforcement agency to treat <br />medical waste prior to treating the waste. <br />L&)el Cr+ -o A"h n ^1 t7tk\ o'r 0'L"�:/nL 4 o -t I <br />_15.HSC Section 118765 -All treatment <br />re ds shall be kept for 3 years. <br />1 <br />16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />t i C--)ALb S E'er Ccrnt-/i ir�,� �r' +1�;!� <br />_17.HSC Section 118220 -Recognizable <br />Tu—man anatomical parts shall be disposed of by <br />Interment unless otherwise hazardous. <br />�1 <br />�Pr pl r��p � 4 f• �(� M ^^"^- C — <br />_18.HSC Section 118225 -Treated sharps shall <br />be#stroyed or somehow prevent public access. <br />1 <br />�19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />_Z20.HSC Section 118280 -MW label & contain <br />t` <br />_21.HSC Section 118285 -Sharps label/contain <br />_22.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.Other-Describe in narrative. <br />- <br />Inspe or rgnaturd Rec, I ed By <br />z�Q`c <br />