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MEDICAL WAST&SPECTION REPORT Date: 1% /Zq/ZOl 7 1 San Joaquin County Environmental Health Department Program p�O S 3 7$5 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: Ell P; (209)468-3420 Program www.siogv.org/ehd Element: 7— Facility Facility Name Address City Zip Code California Health Care Facility 7707 s.austin road Manteca 95215 Facility Contact Title Phone Number Email Inspection Type Shelly Prater Licensing Compliance Unit 209-467-6916 shelly.prater@cd Routine Analyst cr.ca.gov The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). jig titin x �,,ITreatrin ; ' HSC 117890-No LOG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall El 1' registered with the EA. ❑ 17' be permitted by the EA. HSC 117950-LOG shall register with the EA prior to ❑ 2 ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. generating medical waste. HSC 117903-Permit from the EA is required prior to treating 19 HSC 118215-All medical waste shall be treated pursuant to ❑ 3' medical waste. ❑ this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4' register with the EA. ❑ 20. disposed of by interment,incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this E] 6' 22'issured by the EA. ❑ section. HSC 117890-LOG shall notify EA 72 hours prior to ❑ 7. on,tar�ler� orage u; x participating in temporary event. 4 = ❑ 8. 117895n SQG shall notify EA 72 hours prior to H ® 23• SC section-Biohazard bag shall meet the standards set forth art HSC 118275-Medical,biohazardous,sharps,trace chemo, pathology,or pharmaceutical waste shall be segregated and ' Dodd ® 24. contained pursuant to this section. The container shall be 1 properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25. HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored EI 10. 26 treatment and shipping and tracking records for 3 years. ® pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated El 11. information document and transportation records for 3 years. El 27' pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical ❑ 12. HSC 117960 LOG shall file MWMP with the EA. ® 28. waste shall not be used for other storage. HSC 117975-LOG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and ® 13. tracking documents for 2 years. ® 29' marked with proper signage. SM _ owHSC 118310 Designated accumulation area shall be secured 9 z5�}4rttoll �� ❑ 30. and marked with proper signage ., - _ x 5000 1, �a ❑ 14. HSC 117946-MOT exemption requirements for SQG. �� ti IN ❑ 00 15. HSC 117976-MOT exemption requirements for LOG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: Shelly Prater Signature: W1a' Phone: (209)467-6916 Specialist: Pring Harprit Mattu Sr REHS Signature: T/ Phone:(209)468-3284 Reinspecion on/about: A reinspection fee of44ftper hour may be charged. Page 1 of 3 EH-08/2015 ISZ