Laserfiche WebLink
0, <br /> 0 <br /> ®?a`'UV o SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 2 <br /> Q 2.� 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> ... MEDICAL WASTE INSPECTION FORM <br /> FacilityName [�o'� -n L`®v�AA J FacilityAddress ar)40 (414'4 l k S�- <br /> FacilityContact a f Title -XII..C1 ®',ILL1vt Phone# <br /> INSPECTION TYPE: Moutine ❑Complaint ❑Re-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. ' — L® j S 1 S <br /> _2.HSC Section 117903-Permit from the , <br /> enforcement agency required to treat medical e t 1BAR AK <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall jmL <br /> generate medical waste unless registered with the enforcement agency. ` <br /> _4.HSC Section 117895-SQG that treats med akA C. . C ;(- <br /> waste shall register with enforcement agency. , <br /> _5.HSC Section 117900-Shall not haul med L' el r\ W $ c !1 <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med M I LAJ1 1.1i <br /> waste without permit from enforcement agency. t <br /> fa1 <br /> _7.HSC Section 117908-Common Storage f <br /> cility shall be registered with local enforcement <br /> agency. <br /> Procedures a 1 — ° S 16T Z <br /> us ' <br /> 8.HSC Section 117935-SQG MWMP (�c <br /> _9.HSC Section 117943-SQG Shall keep IAnoA <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. V 1 f <br /> _11.HSC Section 117960-LQG shall file MWMP ^y <br /> with enforcement agency. rcavwi1 <br /> _12.HSC Section 117975-LQG shall keep Lxo�t S <br /> records for 3 years. <br /> Transportation e 1 L f l ti I J tai <br /> _13.HSC Section 118030-LQHE application. PR LAI t I <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit p 3 I lC <br /> from the enforcement agency to treat medical SA ' <br /> waste prior to treating the waste. x(11 Z <br /> _15.HSC Section 118765-All treatment records <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 S e 1 <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. 1 <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 /> c,hgmo shall be labeled properly. <br /> J �� i ` , `�S <br /> ^20.HSC Section 118280-MW label&contain W <br /> _21.HSC Section 118285-Sharps label/contain p CIL ' <br /> 22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118307-Interim storage labeled ' <br /> -)(,,24.HSC Section 118310-Enclosure labeled. <br /> _25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard J <br /> bag used. <br /> _27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Inspe r Signature Rbceive&4K Date <br /> 29 Other-Describe in narrative. <br />