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SAN JOAQUIN COUNTY Date 41iIIIA <br />ENVIRONMENTAL HEALTH DEPARTMENT PR 045 007-q <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName G46 <br />I �,An!4 Ciel- <br />—FadfityAddress <br />L4SL6 5 11-A (ow4 <br />FacilityContact Ambe-r <br />c.VL�lsdf, <br />Title l <br />mJji. Phone# x{'117. <br />a r <br />ElComplaint EiRe-Inspection <br />VIOLATIONS) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />waste.C� <br />HSC Section 117890 -No large LQG shall <br />1 _ ; a W <br />n L <br />�'! fYc. r 7 a <br />_3. <br />generate medical waste unless registered with theY-01 <br />enforcement agency. <br />4. HSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />jv4) ntri <br />_5. HSC Section 117900 -Shall not haul med <br />waste unless registered or obtained LQHE. <br />Section 117903 -Shall not treat med <br />61' Y) <br />C �11��, <br />_6.HSC <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />1 t�afs 6 r T <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />-10.HSC Section 117945SQG not required to <br />Ziistel shall keep records for 2 years. <br />Z,11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />(MAA qc- <br />a i 5 I1� Lt S C J I <br />f L i r S l S-0 6e <br />k S <br />1 • 't ' <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />rZ <br />J t G/ n <br />,q ' 1 f/i 1 V <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 />be kept for 3 years. <br />16.HSC Section 118215 -All medical waste <br />shall_be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human <br />LA f J <br />nofshall S l <br />) 0 <br />r 1 ' <br />1 <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 />_19.HSC Section 118275 -MW red bags, path, <br />c emo shall be labeled properly. <br />20.HSC Section 118280 -MW label & contain <br />_21.HSC Section 118285 -Sharps labellcontain <br />_22.HSC Section 118295 -Proper decon used. <br />_23.HSC Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />25.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />27.HSC Section 118275(g)-Pharm label/store <br />>Z28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />1nspEUor Signature Received By Date <br />PA <br />