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MEDICAL WAST&SPECTION REPORT12I► 3/► <br /> Date: 7 <br /> San Joaquin County Environmental Health Department Program Q Q <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 4 �O Sc�Uo 1 <br /> (209)468-3420 Program �J <br /> www.siogv.org/ehd Element: 5 C�2— <br /> Facility Name Address City Zip Code <br /> Sutter Tracy Community Hospital 1420 n.tracy blvd. Tracy 95376 <br /> Facility Contact Title Phone Number Email Inspection Type <br /> Dawn Kent EVS Manager (209)832-6053 Kentd@sutterhea Routine <br /> Ith.org <br /> The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). <br /> Registration Treatment <br /> HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall <br /> El " registered with the EA. ❑ 17' be permitted by the EA. <br /> ❑ 2 HSC 117950-LQG shall register with the EA prior to <br /> generating medical waste. [j18. HSC 178165-All treatment records shall be kept for 3 years. <br /> ❑ <br /> HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to 3" medical waste. ® 19" this section. <br /> HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be <br /> ❑ 4' register with the EA. ❑ 20. disposed of by interment,incineration,or an approved <br /> alternative. <br /> HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo <br /> ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated <br /> under the MOT exemption. by incineration or an approved alternative. <br /> ❑ <br /> HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this 6" issured by the EA. ❑ 22" section. <br /> ❑ 7 HSC 117890-LQG shall notify EA 72 hours prior to Containment/Storage <br /> participating in temporary event. <br /> ❑ 8 HSC 117895-SQG shall notify EA 72 hours prior to ❑ 23 HSC 117630-Biohazard bag shall meet the standards set forth <br /> artici atin in temporary event. in this section. <br /> HSC 118275-Medical,biohazardous,sharps,trace chemo, <br /> Records/Documentation ® 24 pathology,or pharmaceutical waste shall be segregated and <br /> contained pursuant to this section. The container shall be <br /> properly labeled. <br /> ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and <br /> stored pursuant to this section. <br /> HSC 117943-SQG required to register shall maintain 26HSC 118285-Sharps waste shall be containerized and stored <br /> ❑ 10. treatment and shipping and tracking records for 3 years. ❑ " pursuant to this section. <br /> ❑ 11 HSC 117945-SQG not required to register shall maintain ❑ 27 HSC 118295-Containers shall be washed and decontaminated <br /> information document and transportation records for 3 years. pursuant to this section. <br /> ® <br /> HSC 118305- Reuseable drums or conainters used for medical 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28. waste shall not be used for other storage. <br /> ❑ 13. HSC 117975-LQG shall maintain treatment and shipping and ❑ 29 HSC 118307- Intermediate storage area shall be secured and <br /> tracking documents for 2 years. marked with proper signage. <br /> Transportation ❑ 30. <br /> HSC 118310-Designated accumulation area shall be secured <br /> and marked with proper signage. <br /> ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other <br /> ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. <br /> ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. 32. <br /> Received by: Print: Dawn Kent Signature: VPhone: 209 832-6053 <br /> Specialist: Print: Harprit Mattu,Sr REHS Signature: Phone:(209)468-3284 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-08/2015 <br />