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MEDICAL WASTEn7 SPECTION REPORT Date: 11 /2°1 bt l San Joaquin County vironmental Health Department Program 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: (209)468-3420 Program www.siogv.org/ehd Element: Observations and Corrective Actions: 13. This registered large medical waste generator does not maintain individual treatment records and shipping and tracking documents for 2 years. - A large medical waste generator required to register with the EHD shall maintain individual treatment operation records, and shipping and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. HSC 117975(a)—Corrective action submitted. 23. Biohazard bag does not meet the standard set forth in HSC 117630. - Ensure that the biohazard bag is a red disposable film bag that is impervious to moisture and tear-resistant. HSC 117630—Biohazardous waste bags used to collect waste that will be treated on site must meet ASTM standard D1709. Biohazardous waste that will be treated offsite must be contained in a bag that meets both ASTM D1709 and D1922. ASTM standards must be printed on the bag. Biohazardous waste bags used in the Dental Clinic of the"E" Yard did not have proper labeling. Implement use of correct bag in Dental clinic and ensure staff are equipped with the correct bags. Submit evidence of corrective action by 2/9/2018. 24. Pharmaceutical waste is not segregated for storage. - Pharmaceutical waste shall be segregated for storage in accordance with the facility's medical waste management plan. Shipping container shall be in compliance with DOT and DEA. HSC 118275(a)(6) -Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words "HIGH HEAT" or"INCINERATION ONLY"on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(6)(B) - Corrected on site. 24. Trace chemotherapy waste is not segregated for storage. The secondary container is not labeled appropriately. - Trace chemotherapy waste shall be segregated for storage, and the secondary container shall be labeled with the words "Chemotherapy Waste" or"CHEMO" on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(4)—Corrected on site. 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly lid, clean, in good repair and appropriately labeled. -Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight-fitting cover, and be kept clean and in good repair. Container shall be labeled with the words "Biohazardous Waste" or "BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c)—Linens are being placed in a bag with a biohazard symbol on it and this bag is not placed in a rigid container. Halt use of biohazard bags for collection of linens, unless linens are medical waste at which point they must be treated and stored in a properly labeled bag placed in a properly labeled container. Submit evidence of corrective action by 2/9/2018. 26. Sharps waste is not placed in sharp container. Sharps container is not handled and/or labeled appropriately. - Sharps waste shall be placed in a sharps container. Full sharps container ready for disposal shall be taped closed or tightly lid and stored onsite not more than 30 days. Sharps container shall be labeled with the words "Sharps Waste" or BIOHAZARD". HSC 118285—Corrected on site. Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 3 EH-08/2015