Laserfiche WebLink
�qurN SAN JOAQUIN COUNTY 46 Date Valle <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR OL(SQOQ9 <br /> Z-� 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> O `P MEDICAL WASTE INSPECTION FORM <br /> a<<F RS <br /> FacilityName our, LwiooFad IityAddress L� N- 5�- <br /> FacilityContact Glj,no. 61n, Title �s�'� Phone#aoq -352. <br /> INSPECTION TYPE: KRoutine ❑Complaint ❑Re-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> _1.HSC Section 1 17955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of v <br /> medical waste. (� �> 0���Gb °� u1� S�e !�[►1l,M�a,1k��1 n,ASI'� <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical [0' 'o. -Z1` <br /> waste. �11l b-14 ' <br /> _3.HSC Section 117890-No large LQG shall Lal t/ 1 t <br /> generate medical waste unless registered with the <br /> enforcement agency. C <br /> _4.HSC Section 117895-SQG that treats med J1.0�et� ; fiat 1'0 '&A L'A G ' <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med 1�li�f}'1 n 1���. Sty ill ce�i 1�CtU/1 bill u aR�i3 <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 /> facility shall be registered with local enforcement <br /> a 1 Gl. <br /> agency. �,I� , <br /> Procedures `1 s L 1 w`'amu Use <br /> _8.HSC Section 117935-SQG MWMP t la'R 2� <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to LL 1�, " <br /> register shall keep records for 2 years. �. 5�)O S W.S es 1 TI l <br /> (�11.HSC Section 117960-LQG shall file MWMP Mw 1 11 \ fl <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation 1-XL�1y-x 44&&! �n <br /> _13.HSC Section 118030-LQHE application. f <br /> Treatment/Storage 1 1 <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. �� W m�104A Lk) t J1R/ <br /> _15.HSC Section 118765-All treatment records �sfe! + .4 c 1 11 t�S) <br /> 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 human �. �. ln'�qIL, S <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. _L <br /> _ 9 p r ' 1' s 5f <br /> 19.HSC Section 118275-MW red ba , ath, h <br /> c emo 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. t <br /> _23.HSC Section 118307-Interim storage labeled S, �1y�Ct-1 Ltf �ti,S mu - g VL Ul ll'C� <br /> _24.HSC Section 118310-Enclosure labeled. <br /> _25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard p `/�� <br /> bag used. ®� <br /> _27.HSC Section 118275(g)-Pharm label/store <br /> 28.HSC Section 118222-Incineration Required InspeUor Signature eceived By Date <br /> 29 Other-Describe in narrative. <br />