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SAN JOAQUIN COUNTY Date 111 14 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name \hpom, Ain'J- UDAU\ FacilityAddress too f— 14'arn 1-'n- <br /> FacilityContact :1Atk 'vy*xatA y#Title 9� Phone#Lgnt-'7 <br /> INSPECTION TYPE: %Routine oComplaint olke-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. 0 - Lint",,P mtr+M un (mwmP <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical 1, <br /> -LU <br /> waste. <br /> —3.HSC Section 117890-Ho large LQG shall C17tiUll U i cedA F,.ss (q ,A <br /> generate medical waste unless registered with the <br /> enforcement agency. IAPAA}P- ibg, MAMPCA !Arind ba3m 11T <br /> —4.HSC Section 11 7895-SQG that treats med <br /> waste shall register with enforcement agency. af;a <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 /> THSC Section 117908-Common Storage R <br /> waste without permit from enforcement agency. M, Vuttl �V�xaejcwl rj�) <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures 2c11r,j,(,I,, Is J-6Cod,� KVAi el vvw4c' h ILyter- <br /> 8.HSC Section 117935-SQG MWMP <br /> 9.HSC Section 117943-SQG Shall keep <br /> )(A S <br /> records for 3 years. 3f4kiAlt b <br /> —10.HSG Section 117945-SQG not required to <br /> re aster shall keep records for 2 years. 11VANN,, Loi(c- An'h <br /> 12S,11.HSC Section 117960-LQG shall file MWMP -4 <br /> with enforcement agency. 'CA s�' �--/A )A;�u I <br /> —12.HSC Section 117975-LQG shall keep co0� Id4l , <br /> records for 3 years. Chi �ffiL)3zj.IA <br /> Transportation :� J—AYSNU&l (9"'L <br /> 13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storage <br /> —14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> —1 5.HSG Section 11 8765-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 <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. <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-Properdecon 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 <br /> bag used. 711 <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> 28.HSC Section 118222-Incineration Required Insp&ktor Signature NK-1ceive By Date <br /> —29 Other-Describe in narrative. <br />