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Date (-Q1--7d05 <br /> • Record IDTh'g{----,0D2. <br /> Prog Elem�.Z—L[ <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 /> Facility Nameao-t-&,-a _Q 1, Facility Address Gln 6, cr-,-4 uP =a <br /> Facility Contact Scd Title ti6io1: cce. Phone#_Z3G-122? <br /> INSPECTION TYPE: Aoutine ❑Complaint ❑Reinspection <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 <br /> of medical waste. <br /> _2.HSC Section 117903-Permit from the <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 /> _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 .LL:—�1��= <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures *,z r,1: Q I k)aG-(-V A V\,7 I pp-� 0-4,e <br /> 8.HSCSection 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. -- �t <br /> _10.HSC Section 117945-SQG not required to <br /> re ster shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file <br /> MP with enforcement agency. <br /> 12.HSC Section 117975-LQG shall keepS SAcQ "4 <br /> records for 3 years. f I g' <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatmentistorage , <br /> _14.HSC Section 118135-Shall obtain a S <br /> permit from the enforcement agency to treat ,(% I <br /> medical waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment OrIA/— ii <br /> records shall be kept for 3 years. _ , <br /> _16.HSC Section 118215-All medical waste �� -t'Y�D l� � ( (� !W— j la�� <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable e <br /> Fu—man anatomical parts shall be disposed of by <br /> Interment unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall a ` <br /> be estroyed or somehow prevent public access. <br /> , 19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&containS <br /> _21.HSC Section 118285-Sharps IabeVcontain <br /> _22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118310-Enclosure labeled. <br /> _24.HSC Section 118305-Cannot reuse drums <br /> Ea-g- <br /> Section 117630-Approved biohazard <br /> bag used. <br /> 26.Other-Describe in narrative. 4 <br /> — Inspe ttortlgnatul,46 Receiv <br />