Laserfiche WebLink
�PQuiN, o SAN JOAQUIN COUNTYDate P/7-®A01A <br /> EN ONENTAL HEALTH DEPARTME Apo' PR 8 S <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility am �". ten; C,,,rt..T;ZtA-.r FacilityAddress 7? 07 .s�: 12& <br /> �� cbb h <br /> FacilityContactG` adv \ATitl " C Phone# ?-o9-4674514 <br /> INSPECTION TYPE: ❑Routine $Complaint ❑Re-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 /> UN <br /> _2.HSC Section 117903-Permit from the e�nSQ A, <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <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 /> _6.1-11SC 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 /> _8.1-11SC Section 117935-SQG MWMP <br /> _9.1-11SC 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. -NjhLA Q -a M\N l�C'ca GAP c SL <br /> Transportation ` - <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage CLAN <br /> _14.HSC Section 118135-Shall obtain a permit c S rtc'Q Vim® <br /> From the enforcement agency to treat medical <br /> waste prior to treating the waste. M--&=!L 1U <br /> _15.HSC Section 118765-All treatment records ®� <br /> shall be kept for 3 years. __ �a <br /> 16.HSC Section 118215-All medical waste \..3 Ct �r� RL16A <br /> shall_ be treated pursuant to this section. Q <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. ,5 <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 /> _20.1-11SC Section 118280-MW label&contain & <br /> 21.1-11SC 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 /> ba-g used. C 21 <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> 28.HSC Section 118222-Incineration Required Insp ctor Signature Received By Date <br /> 29 Other-Describe in narrative. <br />