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• <br />0 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date X12` lC)2. <br />Record ID=66041, <br />Prog Elern ? " <br />Facility Names,Ni to dcj. Facility Address <br />Facility Contact Title y v. P; c ,--a- ,r -,-*,/Phone # —Zall -I <br />I INSPECTION TYPE: Ooutine ❑Complaint ❑Reinspection <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the generation <br />of medical waste.C1 <br />HSC Section 11 7903 -Permit from thes�Yli <br />4 r��fyz'� +1� IZti <br />� C) � f; �� r ('--c ( l� ;I /t � �Ad / .'tli r_- ,, , _. Cz r. <br />_2. <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />generate medical waste unless registered with <br />the enforcement agency. <br />- <br />�_ r' , % <br />, ^ <br />tU <br />_4. HSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />j , fi ( � ��i bra ri r, c; , e I A `tea f <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 />i-i�✓ �-r _L JQ A;�) - A) `; rbc r� 1 I "L ' -c i < "n L4a- <br />11 _ <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />re p er shall keep records for 2 years. <br />11.HSC Section 117960-LQG shall file <br />R' ' r } <br />{, <br />1 <br />MWPP with enforcement agency. <br />V1 2.HSC Section 117975•LQG shall keep <br />records for 3 years. <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />7 <br />_14.HSC Section 118135 -Shall obtgn a <br />permit from the enforcement agency to treat <br />medical waste prior to treating the waste. <br />_15.HSC Section 118765 -All treatment <br />records shall be kept for 3 years. <br />�� <br />I <br />t�, r. �.L4 P, C c <br />c <br />' ' " 7 t < <�= M (71- 1h, <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />�' <br />_17.HSC Section 118220 -Recognizable <br />human anatomical parts shall be disposed of by <br />interment 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 />chepno shall be labeled properly. <br />0.HSC Section 118280 -MW label & contain <br />_21.HSC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />_23.HSC Section 118310 -Enclosure labeled. <br />24.HSC Section 118305 Cannot reuse drums <br />_25.HSC Section 117630 -Approved biohazard <br />bag used. <br />—26. Other -Describe in narrative. <br />A&A h' <br />Inspectdr Signature T Rece' a By <br />