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_ • <br />SAN JOA UIN COUNTY Date /0-,31, a <br />ra o� ENVIRONMENTAL HEALTH DEPARTMENT PR its <br />rA 600 East Main Street, Stockton, CA 95202 <br />(209) 466-3420 <br />4i fF� P MEDICAL WASTE INSPECTION FORM <br />" 1 <br />(� r►1n➢t . h f r r .. _ _ <br />FacifityContact-&mix i- .rINSPECTION TYPE: okoutine oComplaint oft -inspection <br />-VIOLATION(S) <br />Registration <br />_ 1. HSC Section 117956 -Large Quantity <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />HEALTH & SAFETY CODE (HSG): <br />Generator shall register with the enforcement <br />agency t3donto commencement of the generation of <br />medical waste. <br />2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medicalhil-w-Sth <br />- <br />" <br />2 -h <br />t _ <br />-F=CAA3M I -r7 +- t fC-CxfT' <br />37890 <br />waste. <br />HSC Section 11 -No large LOG shall <br />„_3. <br />generate medical waste unless registered with the <br />t , t <br />enforcement agency. <br />,aam t'211h . <br />n <br />4. HSC Section 117895-SQG that treats meds <br />waste shall register with enforcement agency. <br />°t°Iit;d'1�t•► <br />HSC Section 117900 -Shall not haul med <br />_6. <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />e - <br />t <br />waste without permit from enforcement agency. <br />7.HSC Section 117908 -Common Storage <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />\ <br />___B.HSC Section 117935-SOG MWMP <br />`9,HSC Section 117943-SOG Shall keep <br />records for 3 years.�- <br />_10.HSC Section 117945-SQG not required to <br />registershal•1 keep records for 2 years. <br />�a` <br />11.HSC Section 117960-LQG shall file MWMP <br />Aqh enforcement agency. <br />12.HSC Section 117975 -LOG shall keep <br />records for 3 years. <br />Transportation <br />30 -HE applicatlon. <br />Stion 1180LQ <br />13. HSCec <br />TreatmentlStorage <br />- <br />M ja,vx IP, <br />`6,. ins: • R�� C +-�-C Ir ".� j� <br />_%HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />YYi r `{ ��. (Z'. 13:3 r- p° f <br />Pr- [?u. iju-' an: <br />i16.HSC Section 118765 -All treatment records <br />shall be kept for 3 years. <br />_16.HSC Section 118215 -All medical waste <br />shell be treated pursuant to this section. <br />17.HSC Section 118220 -Recognizable human <br />anatomical parts shaii.be disposed of by interment <br />unless otherwise hazardous. <br />�^° � a tV1 : i+� <br />t{ <br />`�. <br />�� f `d 111 112 D kCUC "4 <br />_18.HSC Section 118225 -Treated sharps shall <br />e destroyed or somehow prevent public access. <br />Li,6 11 <br />_19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />—20.HSC Section 118280 -MW label & contain <br />ft r jt , Yh r y1• tri i^�- , <br />21.HSC Sect€an_118285 Sharps labellcontain <br />--- --- — - .._...-----.......-- -- ._....... _...__.._._......— <br />_22.H5C Section 118296 -Proper decon used. <br />:23.HSC Section 118307 -Interim storage labeled <br />24.HSC Section 118310 -Enclosure labeled. <br />_ <br />�25.HSC Section 118305 -Cannot reuse drums <br />26.1-18C Section 117630 -Approved biohazard <br />bag used. <br />__27.HSC Section 118275(8) -Pharr label/store <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative: <br />I e ory9nature Received By Date <br />W� <br />