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0 <br />SAN JOAQUIN COUNTY 0 Date_ 13 <br />ENVIRONMENTAL HEALTH DEPARTMENT PR01A00-ALI <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName G o\ nL;vin� C �cr FacilityAddress 4SV G416 (ouri <br />FacilityContact E\)un s Title �, cJr� cuc �5Phone#��c�tJk'1 -02 11 <br />I INSPECTION TYPE: Aoutine oComplaint EiRe-inspection <br />VIOLATION(S) <br />Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. , _ n -Ir �8�,yvs <br />_2. HSC Section 117903 -Permit from the L L� <br />enforcement agency required to treat medical w'1 & , ��S r SuN� S <br />waste. <br />_3. HSC Section 117890 -No large LQG shall -<A UL Wffi <br />generate medical waste unless registered with the o ���, <br />enforcement agency. Lk;` tt <br />_4. HSC Section 117895-SQG that treats med Lu 1 " iD M UJ'1'j, -S 4�a <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med �b,J M 1 Vf S <br />waste unless registered or obtained LQHE. 11 <br />_6.HSC Section 117903 -Shall not treat med CbS f et9f1-J1b �A �a% f i3 ° <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage /� y- 11__ <br />Ta shall be registered with local enforcement <br />agency. °�, 11 �3 1i+7 _ `r FDU+'c S �U� STI ilk,, zotu� <br />Procedures 64 1 TLL o <br />_8.HSC Section 117935-SQG MWMP �zj�� r a {� 1 s1 In, <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. 1 QS m tq P t'uj o,, 1A <br />_10.HSC Section 117945-SQG not required to' $ LLj ° <br />register shall keep records for 2 years. ,�1,{ -(-IA i CUJ I 0:3 �'7 3 <br />With <br />Section 117960-LQG shall file MWMP J <br />with enforcement agency. f` <br />Q/,_12.HSC Section 117975-LQG shall keep ,� U VT uj5'1 S cwt CQ S <br />records for 3 years. <br />Transportation art Le t,%iut (AIC <br />_13. HSC Section 118030-LQHE application. , • _ , s G+ o , <br />Treatment/Storage U <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical 11-� , <br />waste prior to treating the waste. 5 T 1 a1iV <br />_15.HSC Section 11 8765 -All treatment records aJAArT <br />shall be kept for 3 years. <br />_16.HSC Section 118215 -All medical waste rTs WrIAe <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human 3 �(Y1 ` j Jn& <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />_18.HSC Section 118225 -Treated sharps shall Vl „, 1 i 1 u11 1S, 5 ° <br />be destroyed or somehow prevent public access. s w vy V <br />_19.HSC Section 118275 -MW red bags, path, <br />Zh mo shall be labeled properly. <br />20.HSC Section 118280 -MW label & contain (C W i <br />_21.HSC Section 118285 -Sharps label/contain ` s <br />22.HSC Section 118295 -Proper decon used. 5 ' U I <br />X23.HSC Section 118307 -Interim storage labeled n °AL1® Q, <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 &OWA=n�� (2ta <br />_28.HSC Section 118222 -Incineration Required InS ctor Signature ecei @d By Date <br />29 Other -Describe in narrative. <br />