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SAN JOAQUIN COUNTY Date-q/ao 1 <br /> z' °c ENVIRONMENTAL HEALTH DEPARTMENT PR QMSO 0y_ <br /> ,� fu 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> c� �... MEDICAL WASTE INSPEC i TON FORM <br /> FacilityName kaiser' Fo xnnA,,&j\ 6,AtFacilityAddressITY1 W. -q0CtM4( <br /> Eacili Contact tom,, C' Www Title 4j (.00)Ainvhr Phone#US- ASS <br /> INSPECToutine ElComplaint ❑ e-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 /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. , I D a _ T n4 L 3 C•®� <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical �- <br /> waste. 1 <br /> _3.HSC Section 117890-No large LQG shall " 41 nCJ . <br /> generate medical waste unless registered with the <br /> enforcement agency. 't t1t <br /> _4.HSC Section 117895-SQG that treats med Cfbml} <br /> waste shall register with enforcement agency. ` <br /> _ Uzo <br /> 5.HSC Section 117900-Shall not haul med <br /> r S ilta'ht11 A (a7`te c�tit.U�- f1S���yLT LJi11 ®f Lyct1T .AUT, (Cl <br /> waste unless registered or obtained LQHE. ff�__ 1 <br /> _6.HSCSection 117903-Shall not treat med ®tlG1 anf9�S. WS`�,C�� l �3'ZD111, <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> fa -1 <br /> cility shall be registered with local enforcement g7 e1 U m. t Cu�'SI <br /> agency. 5 <br /> Procedures J °�:En ' Oda" -t c <br /> _8.HSC Section 117935-SQG MWMP 1 <br /> _9.HSC Section 117943-SQG Shall keep S r nes <br /> records for 3years. U , rN. e � <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. c— 4 \ ` X <br /> _11.HSC Section 117960-LQG shall file MWMP oxV tlsus�. ows%%+ (A9 is t. S tz 11, <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep 3 <br /> records for 3 years. Ari S m <br /> Transportation t:kAtk� <br /> _13.HSC Section 118030-LQHE application. <br /> Treatrnent/Storae <br /> _14.HSC Section 118135-Shall obtain a permit A S '� C to S f .M <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. ® 1 WILU 1AC S .(, OO <br /> _15.HSC Section 118765-All treatment records �UUj [Ol9iti <br /> shall be kept for 3 years. 13 dX\n <br /> _16.HSC Section 118215-All medical waste ® , h. , �$r l �, ��� �� <br /> shall be treated pursuant to this section. <br /> _ ANxq- <br /> 17.HSC Section 118220-Recognizable human D S �\ i S 37 ,fca 5 u - <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. Gs 1. i Sl 1'11' ! f 1C WCr fe{1��SeU �rYl(t(14h <br /> _19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> 20.HSC Section 118280-MW label&contain ` (tri L® 5JIDI <br /> 21.1-11SC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. <br /> _ <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 /> D&„27.HSC Section 118275(g)-Pharm label/store bqMV4rCjAn <br /> 0&_28.HSC Section 118222-Incineration Required InSpe Or Signature Received By Dale <br /> 29 Other-Describe in narrative. <br />