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SAN JOAQUIN LOCALHEALTH TRICT <br />1601 E. HAZELTON AVENUE, P. 0. 1300109 <br />STOCKTON, CA 95201 — PHONE: (209) 468-3420 <br />INFECTIOUS WASTE INSPECTION FORM <br />COMPUTER NO. <br />PERMIT NO. <br />PERMITS & PROCEDURES <br />ST R. OPER, <br />1. PERMIT TO OPERATORoK <br />2. PROCEDURES & POLICY <br />(up to date, on file, with H.D.)OK <br />3. INFECTIOUS WASTE IDENTIFIED oK <br />4. PROVIDE COPY MATERIAL DATA SHEET <br />0 1< <br />5, IDENTIFY HANDLING FROM. <br />GENERATION TO DISPOSAL <br />6. DISINFECTING & CLEAN-UP IDENTIFIED <br />7. AIR POLLUTION INCINERATION PERMIT <br />ON FILE 0/ <br />8, ANNUAL CALIBRATION CHECK <br />FOR STERILIZER <br />9, BAG STRENGTH ON FILE <br />(165 , gram,strength) C9 <br />STORAGE/ CONTAINERS <br />10. PROTECTION FROM INSECT$/ RODENTS, <br />WIND. RAIN, & ANIMALS 0 K <br />11, SEGREGATED AT POINT OF ORIGIN 0< <br />12, SEPARATE FROM OTHER WASTES O� <br />13. CONTAINERS iN LOCKED AREA REO E0 <br />14. WARNING SIGN IN ENGLISH t <br />co' e': <br />15. ON SITE STORAGE TIM0E,( <br />_ <br />16. LEAKPROOF. PUNCTURE -RESISTANT <br />CONTAINERS & SAGS roK <br />17, BAGS LABELED INFECTIOu� <br />WASTE/BIO-HAZARD O <br />18, TIGHTLY LIDDED CONTAINERS (2 <br />V/19. CONTAINERS LABELED - BOTH SIDES & TOP <br />20 CONTAINER WASH AREA PROPERLY <br />DRAINED WITH HOT WATER 0K <br />TREATMENT/ DISPOSAL <br />21. REGISTERED HAZARD <br />WASTE HAULER9 <br />22. INCINERATION AIIA- <br />_L_ 23, HEAT STERILIZATION <br />24. DRAIN TO A SANITARY SEWER LINE'OK <br />25. REUSABLE CONTAINERS CLEANED EACH <br />TIMI THEY AR MPTIED & PROPERLY <br />SANITIZED <br />26. LEAKPROOF DUMPSTER ON SITE 'w/A <br />Eli W 41 <br />KIM <br />I % -) % ® V: <br />THE ITEMS BELOW REPRESENT <br />AND MUST BE <br />ego <br />I <br />WOM ME � <br />�QAA <br />SAiNITARIAN FkErcjVrr) By v <br />