Laserfiche WebLink
•6 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date S <br />PR o noos- <br />Facility Named ). 4&;pFacility Address s <br />Facility Contact Title r dwuo.15� ,1?hone # %(_aS�9 I <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 />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. <br />" <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />11 <br />C -- C lb <br />waste. <br />e- <br />_3. HSC Section 117890 -No large LQG shall <br />+t D( yy%oii � /Ya iAA-Ac,-b C�nA o kwre-a"� g� i C-6 <br />_�— <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 />p <br />_5. HSC Section 117900 -Shall not haul med <br />�`�� tneia u dA--> _,q rLEi�i�n tnG <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />i <br />waste without permit from enforcement agency. <br />7.HSC Section 117908 -Common Storage <br />tshall be registered with local enforcement <br />1 1.550 1J1AL.I�t-IC�.0 i f7T�� (L tLe—i ' <br />agency.facility <br />,.AoU�d <br />Procedures <br />4+A'-t-�� (�i►��,f 2- I1„ �r�.,� d�,r-I- lt"Qxjmj <br />a <br />_8.HSC Section 117935-SQG MWMP <br />9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />,; 19 # '� ) •E- � <br />_10.HSC Section 117945-SQG not required to <br />req'ster shall keep records for 2 years. <br />ln <br />q e a,-% -l�l�fS t(1 `+ g_ 1) i��. S i-1Qi_G- Gln/_1 <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />r4- �(1f)S!7 r'f' �.r C s-F'o \r 1a % \C; <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />eta l �l I{ I_jrnDlo_.,r�P�. r�nP��,t`��.� �,�� SYS <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />Section 118135 -Shall obtain a permit <br />` r` <br />From- <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 />0 t j`n-A 4.- -ti, <br />shall be treated pursuant to this section. <br />t �G (,QA <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 />a <br />be 9estroyed or somehow prevent public access. <br />19.HSC Section 118275 -MW red bags, path, <br />ch mo 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 />\ ` <br />23.HSC Section 118307 -Interim storage labeled <br />24.HSC Section 118310 -Enclosure labeled. <br />rnA <br />25.HSC Section 118305 -Cannot reuse drums <br />Irn ���� p p �� Dmoo✓ �� J-T46_11k <br />`�`^' -�` <br />_26.HSC Section 117630 -Approved biohazard <br />1 t I <br />ba used. <br />,r �d P <br />27.HSC Section 118275(8)-Pharm label/store <br />t5�e�ctor <br />_/28.HSC Section 118222 -Incineration Required <br />Sign ure Received By Date <br />29 Other -Describe in narrative. <br />