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. MEDICAL WASTASPECTION REPORT 0 Date: I Z/G I19 San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: FSR Q 5 3 7 8 5 8 (209)468-3420 Program ac,F,R.-� www.siogv.org/ehd Element: '16.2 A Facility Name Address City Zip Code California Health Care Facility 7707 s austin rd. Manteca 95215 Facility Contact Title Phone Number Email Inspection Type John Porras Associate Warden 209-467-2578 john.porras@cdcr Routine .ca.gov The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). hi �i .. a� a vu�ti -00 HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall El1' registered with the EA. ❑ 17' be permitted by the EA. HSC 117950-LQG 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 HSC 118215-All medical waste shall be treated pursuant to ❑ 3' medical waste. ® 19. 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 ❑ 6' 22'issured by the EA. ❑ section. HSC 117890-LQG shall notify EA 72 hours prior tof ❑ 7' participating in temporary event. filalt1OAa HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth El 8' participating in temporary event. 23. in this section. TO HSC 118275-Medical,biohazardous,sharps,trace chemo, pathology,or pharmaceutical waste shall be segregated and R fOCtI #att1 ., _ ® 24. contained pursuant to this section. The container shall be i 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 El 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 ❑ 11. information document and transportation records for 3 years. ❑ 27. pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical ® 12. HSC 117960-LQG shall file MWMP with the EA. ® 28. waste shall not be used for other storage. HSC 117975-LQG 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. t HSC 118310-Designated accumulation area shall be secured �tQ El 30. and marked with proper signage. a, u" s u V ❑ 14. HSC 117946-MOT exemption requirements for SQG. ar ❑ 15. HSC 117976-MOT exemption requirements for LQG. ® 31. HSC 117938-Operator training. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: John Porras Signature: Phone:209-467-2578 Specialist: Print: Sandip Singh Signature: v� 6�� Phone: 209-468-3526 Reinspecion on/about: A reinspection fee of$152 per hour-may be charged. Page 1 of 3 EH-11/17