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Da <br /> oP c SAN JOAQUIN COUNTY to V <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> P q� <br /> /FOMEDICAL WASTE INSPECTION FORM RS <br /> Facility Name Facility Address PTI:t <br /> Facility Contact. Title S Phone# �76-3> <br /> INSPECTION TYPE: ORoutine []Complaint ❑Reinspection <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. <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical I�1edlt.. v1 �: r -f7(l�ineLS Pry_ 7 'A'Dor d:IT <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall nn-4- hAarg 1185 M-" _ nil 1 Cnw4'!>11., Wq -Ar.-t r�_ <br /> generate medical waste unless registered with the <br /> enforcement agency. Mid iw]/�SE SL,n_(1 h0.tr¢ `kiG4�_�j 1�� ea-iasw.awC, <br /> _4.HSC Section 117895-SQG that treats med ids �irP�-C� �- .,,� [�,� <br /> waste shall register with enforcement agency. .0� <br /> _5.HSC Section 117900-Shall not haul med t Y,Wl�itti C��yZsL-�i -",-a 6Aa__:h 6-n <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <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 /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <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 /> waste prior to treating the waste. <br /> 15.HSC Section 11 8765-All treatment records <br /> sh-all be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste shall <br /> be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <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 /> 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 /> bag used. <br /> _26.HSC Section 118275(g)Pharm label/store <br /> 27.HSC Section 118222 Incineration Only Q �' <br /> Treatment Ins ctor Signature Received By Date <br /> 28.Other-Describe in narrative. <br />