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E11PRSAN JOAQUIN COUNTYDate C-6-ty <br /> ONMENTAL HEALTH DEPARTMEP PR Y ori <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> 1 '0 MEDICAL WASTE INSPECTION FORM <br /> FacilityName &%'&KU4A1 FacilityAddress jq9C2 At- I yr, r-,,j &v e� <br /> FacilityContact I Sib: 6jC-- 1/100y' Title 3e4A.A1-,r-I Phone#- • <br /> INSPECTION TYPE: XBoutine ElComplaint. EiRe-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> —1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> 'denerator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the &Y L=s in�-6W tp-0-4, <br /> enforcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall A2"CE <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med 4- L <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med AA <br /> waste unless registered or obtained LQHE. Q <br /> —6.1-11SC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> % <br /> -�7 0 <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> —8.HSC Section 117935-SQG MWMP <br /> 9.HSC Section 117943-SQG Shall keep A kaa:,�2 QL—ILAZ Ls:!�k' L =SrAd- iiora' <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. Lao ne Ar- 2 Q ad "I a:L 9—&-�20 -& <br /> I 1.HSC Section 117960-LQG shall file MWMP <br /> �fth enforcement agency. <br /> —1 2.HSC Section 11 7975-LQG shall keep <br /> records for 3 years. zc'.'l minh L=T- 04,Ir <br /> Transportation <br /> —13.HSC Section 118030-LQHE application. <br /> Treatment/Storage Ca r <br /> -14.HSC Section 118136-Shall obtain a permit <br /> From the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> —15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. Ec' <br /> —17.HSC Section 118220-Recognizable human q GIPAAa <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 /> 'jhemo 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 /> —23.1-11SC 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 rlAq� <br /> —28.HSC Section 118222-Incineration Required 4 I c r ignature Received B; Dafte <br /> 29 Other-Describe in narrative. 1 <br />