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r <br />• <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 s r7 Ci <br />Record ID `fyna-5 <br />Prog Elem 4f5,2 - <br />Facility Name 'R ,�? u e-+-�.L� Facility Address 'T�O M . Ca k m (no S�z�c IC <br />Facility Contact i\-( I co,e e 5VN\-A t Title C-�-"c Phone # 4(oto -352'Z- <br />INSPECTION <br />3 52Z <br />INSPECTION TYPE: 'outine <br />❑Complaint <br />VIOLATION(S) <br />❑Reinspection <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. <br />HSC Section 117903 -Permit from the <br />DJ,21- , E <br />_2. <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />r) -Z. <br />generate medical waste unless registered with <br />the enforcement agency. <br />12 sC?YYIe- <br />tt <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 />�'� Sc nay J I '7661 —. i -A N I5� <br />�- <br />- -hcy vciy, �ri � F f h I <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />facility shall be registered with local enforcement <br />fa <br />agency. <br />_ <br />C <br />Z <br />Procedures <br />- <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 />retter shall keep records for 2 years. <br />1.HSC Section 117960-LQG shall file <br />MVAP 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 <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 />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <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 />chemo shall be labeled properly. <br />_20.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 />`rn FiY <br />A L- <br />26. Other -Describe in narrative. <br />c --tor Ignatu a Received By <br />sp V <br />L�. <br />