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209 957 7783 <br />GOLDEN LIVING CENTER <br />10 8:50a.m <br />4 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityAddress 12,21 <br />VIOLATIONS) <br />09-19-2012 3/5 <br />Date _ - 12- <br />PR <br />LPR laSQQ/S <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -targe Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />mem waste. <br />_2. HSC Section 117903 -Permit from the <br />- cJ <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LOG shall <br />- 'A_ <br />.0-P 4a VL -JI2 `J16a ja fA PJ k: *B2 rh <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.HSC Section 117903 -Shall not treat med <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />v� - <br />Of <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />_8.HSC Section 117935-SOG MWMP <br />_9.HSC 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. <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 -All treatment records <br />shall be kept for 3 years. <br />_16.HSC Section 11821 5 -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 />18.HSC Section 118225 -Treated sharps shall <br />be_destroyed or somehow prevent public access. <br />1&49. HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />20.HSC Section 118280 -MW label S contain <br />_-21.HSC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />_23.1-11SC Section 118307 -Interim storage labeled <br />24.HSC Section 118310 -Enclosure labeled, <br />X?S.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />i <br />7ba used. <br />27.HSC Section 118275(g)-Pharm label/store <br />J::Lu- <br />In Signature R t:eived By D to <br />- 28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />Received Time Sep. 19. 2012 11:00AM No.117901 � <br />