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SAN JOAQUIN COUNTY 0 Date/(9-3-/3 <br />ENVIRONMENTAL HEALTH DEPARTMENT PR &lsovn­q <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityNameN,+,,.-Ta, FacilityAddress Iyao X11.-Tv-rA(a, 61yc') <br />EnV�-pvtih <br />..'04 k U. <br />FacilityContact oe.� ' L. Ue.�n.� Title Phone# <br />INSPECTION TYPE: 116Routine <br />[]Complaint []Re -inspection <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT S 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 of <br />-generation <br />medical waste. <br />�c.-_ LiT7�1 <br />_2. HSC Section 117903 -Permit from the <br />� � <br />✓� 1422TlS c� -� !o� /c'✓Y1 L <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LOG shall <br />/tin[, t <br />generate medical waste unless registered with the <br />enforcement agency. <br />l s -I 7� <br />_4. HSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med <br />j 6')AjL'_ <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />r � <br />c-1- 1 s. (7A/, t- O.� /7-.v t ter Yn C X�t NJ <br />_ <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storages <br />h"� /�/ti✓y5"-r - n --k— <br />10 <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />- <br />l <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 />register shall keep records for 2 years. <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />— <br />_ <br />O- vie <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />ar ✓yi>,� ,�r,��tiilf , __ <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />I <br />waste prior to treating the waste. <br />15.HSC Section 118765 -All treatment records <br />sh_all be kept for 3 years. <br />Lib <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable humanrwy>ovi- <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />13 /Wo/01 sy')A <br />_18.HSC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />6' 00t�/D�GI %% 7 <br />_19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />_20.HSC Section 118280 -MW label & contain <br />_21.HSC Section 118285 -Sharps label/contain <br />�" e <br />_22.HSC Section 118295 -Proper decon used. <br />4'V10 Vl[° Ghvrl . <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 />lQ <br />_27.HSC Section 118275(g)-Pharm label/store <br />t Signature Received By at <br />28.HSC Section 118222 -Incineration Required t4nbp <br />29 Other -Describe in narrative. <br />