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tQurN SAN JOAQUIN COUNTY Date Rl2-®44.0kI <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 65379 S <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> F `P MEDICAL WASTE INSPECTION FORM <br /> 0 <br /> FacilityNam I TFacilityAddress ?l cv : <br /> FacilityContact - Titl ,. � Phone# <br /> INSPECTION TYPE: []Routine Complaint ❑ 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. o <br /> _2.NSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall `' A <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> 4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <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 a'^ <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 ` - �` ♦1 <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage „^�.`` '` c�°^t�' ®, =f� ! Aden, <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. 14 w:N�N <br /> _15.HSC Section 118765-All treatment records O� �� 1l Qcabv+�i® <br /> shall be kept for 3 years. _� �- �, ir, <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human a >Vs. LI ®® <br /> anatomical parts shall be disposed of by interment (1 <br /> unless otherwise hazardous. \-'-stie- .P W T <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 7 ��. ��;®qQ �� =-% z' <br /> _21.HSC Section 118285-Sharps label/contain <br /> _22.HSC Section 118295-Proper decon used. <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. a <br /> _27.HSC Section 118275(8)-Pharm label/store _ <br /> _28.HSC,Section 118222-Incineration Required Inspector Signature Received By Date <br /> 29 Other-Describe in narrative. <br />