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209 957 7783 <br />GOLDEN LIVING CENTER 10' 8:16 a.m <br />eN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName 6-zAi6eyi LxA)re.A e, -T9 FacilityAddress/.��j <br />FacilityContact,J6,aLt,�r_ <br />VIOLATION(S) <br />09-19-2012 215 <br />Date • A. ][-1 Z _ <br />PR y svv i S— <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117965 -Large Quantity <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />waste. <br />HEALTH & SAFETY CODE (HSC): <br />d t <br />ehamedical <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LOG shall <br />p <br />- A p eiS(T26 LZ�lG- fy V VA- h 1 <br />nCa.e 1, Edx- Fri/ - bblS 1 \� <br />'"� <br />generate medical waste unless registered with the <br />enforcement agency. <br />I <br />'e -C I LZA <br />_4. HSC Section 117895-SOG 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 />�S <br />waste without permit from enforcement agency. <br />--,d <br />_7.HSC Section 117908 -Common Storage <br />c.kwazw. L± ±Q tY6 es f P_1 L±a 01 -3C2 UAS <br />facility shall be registered with local enforcement <br />- <br />agency. <br />Procedures <br />1a& ♦e= �ti•, x=,2 ,!>_ ,� �� cx� • �1� _ <br />Imr c <br />8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />s <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />. P�rA �n Q L r[�112G. t • {i®L6 ryl �i1�o _ <br />Section 117960-LQG shall file MWMP <br />i�'% <br />_11.HSC <br />with enforcement agency. <br />C <br />_12.HSC Section 117975 -LOG shall keep <br />records for 3 years. <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />15.HSC Section 118765 -Ail treatment records <br />;—hall be kept for 3 years. <br />GL" Ila /- T -�hc._ i Ce*sn _(->� <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />1 <br />6 .04=1 <br />16J.04=1 <br />° <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 />1- - ,' <br />� , � � r % 1 <br />chemo shall be labeled properly. <br />A•� �- • � <br />� � _ t � • t'' <br />_20.HSC Section 118280 -MW label& contain,t <br />_21.HSC Section 118285 -Sharps label/contain <br />22.HSC Section 118295 -Proper decon used. <br />l23.HSC <br />Section 118307 -Interim storage labeled <br />24.HSC Section 118310 -Enclosure labeled. <br />Z26.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />Section 118275(g)-Pharm Iabel/store <br />•I <br />_,&7.HSC <br />_28.HSC Section 118222 -Incineration Required <br />t r -Signature Re eived 130 15atd <br />®29 Other -Describe in narrative. <br />Received Time Sep,19. 2012 11:00AM No.1179 <br />