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Date <br /> Record 11) <br /> Prog Elem <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name &T—j facility AddressLamL,,k <br /> Fac,llity Contact Title &Iw.5�cp- MAr-Phone# <br /> INSPECTION TYPE: outine ElComplaint DReinspection <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 <br /> of medical waste, t kAZ <br /> 2.HSC Section 117903-Permit from the <br /> ;-nf-orcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall, 1 <br /> generate medical waste unless registered with nin 0 A <br /> the enforcement agency. <br /> 4.HSC Section 117895-SQG that treats med <br /> +K'4. (-,=, 'jj <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med ads--- C2 <br /> waste unless registered or obtained LQHE. <br /> 6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. V V <br /> THSC Section 117908-Common Storage 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 <br /> records for 3 years. <br /> 10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> I 1.HSC Section 11 7960-LQG shall file <br /> KfW-MP with enforcement agency. <br /> —12.HSC Section 117975-LOG shall keep <br /> records for 3 years. <br /> Transportation <br /> 13.HSC Section 118030-LOHE application. <br /> fr-eatment/storage <br /> —14.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat <br /> medical waste prior to treating the waste, <br /> —15.HSC Section 118765-All treatment <br /> records shall be kept for 3 years. <br /> 16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable <br /> human anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> 18.HSC Section 118225-Treated sharps;shall <br /> 'Ee--destroyed or somehow prevent public access. <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 /> 22.HSC Section 118295-Proper decon used. <br /> —23.HSC Section 118310-Enclosure labeled. <br /> 24.HSC Section 118305-Cannot reuse drums <br /> —25.HSC Section 117630-Approved biohazard <br /> bo used. <br /> 26.Other-Describe in narrative. <br /> In ppec r Sig atu e )1��I�ed/by <br />