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SAN JOAQUIN COUNTY Date (j- <br /> EW <br /> RONMENTA! HEALTH DEPARTMENT <br /> PR D`-s. :uJ•G <br /> • 600 East Main Street, Stockton; CA 95202 <br /> F. (209)468-3420 <br /> I <br /> s <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName6t. ji ,.1 FacilityAddress <br /> FacilityContact \,wt Title, wd,-z 6-k-A hone# 4to-7 - ('Cl( <br /> J. <br /> INSPECTION TYPE: PRoutine []Complaint ❑Re-inspection <br /> VIOLATION(S) <br /> a Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA f <br /> _1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> ' Generator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste.S � � \ �rxoea <br /> _2.HSC Section 117903-Permit from the U ' <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall 10t <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 /> LIP- <br /> -5.HSC Section 117900-Shall not haul med ts �-Wr Aflci `A zo-c") 4 a ie.. at/i <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med L t.t L! 11/1 �..�'1�1 Q 1�.�� ef <br /> waste without permit from enforcement agency. # <br /> { _7.HSC Section 117908-Common Storage 1 <br /> facility shall be registered with local enforcement <br /> agency. 1 f <br /> Procedures c iG <br /> _8.HSC Section 117935-SQG MWMP G } <br /> records for 3 years.117943-SQG Shall keep f G lr 1 <br /> _10.HSC Section 117945-SQG not required to ��OC771Y1 L (`�lr1 02 <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. 2m <br /> _X12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation iM.f4"-143a 5 .A Aldi- Ir,I ,I �P_ ,ham an401&r_ -96, � <br /> _13.HSC Section 118030-LQHE application. ` S am) �� <br /> Treatment/Storage lLl 1�, w ��� 3_s _-__ W—S_4 eA1r% - ___ A2 <br /> I V <br /> _14.HSC Section 118135-Shall obtain a permit M�.��1�d ������ G�e.rr1�i7� --h6y? <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. `�[YL,r i �,W�P !yC -G"rf77711 L. Y <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. •(`7 YLt'nll-r.[.IJ�ILf�l- -__ �- l�S.�/y� __ ___ <br /> A16.HSC 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 /> unless otherwise hazardous. <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 /> c emo shall be labeled properly. I <br /> 20.HSC Section 118280-MW label 8 contain <br /> 21.HSC Section 118285-Sharps labellcontain <br /> —22.HSC Section 118295-Proper decon used. <br /> 23.HSC Section 118307-Interim storage labeled <br /> 24.HSC Section 118310-Enclosure labeled. <br /> 25.HSC Section 118305-Cannot reuse drums <br /> —26.HSC Section 117630-Approved biohazard <br /> bag used. <br /> _27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required f r Signature Rec rued By Date <br /> 29 Other-Describe in narrative. <br />