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SAN JOAQUIN COUNTY Date '91511) <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> .A 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> c9`�F®R `P MEDICAL WASTE INSPECTION FORM <br /> FacilityName \jtic\v,w Gcw A NoSP;��,l FacilityAddress SOO S. �a m Lfn- <br /> FacilityContact Z( ��nku Title D.5 k Phone# 346--'Ili <br /> INSPECTION TYPE: XRoutine []Complaint [ie-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. OOA\ <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical S CUA irt(f t <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall , V&A " i LL <br /> generate medical waste unless registered with the u , \ r� I <br /> enforcement agency. irl <br /> _4.HSC Section 117895-SQG that treats med IA S1 A 1,-, ' o/S1' <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med SAI-1 <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. ^� + ® 1 Q , ' t j L <br /> fa7.HSC Section 117908-Common Storage a 1 t <br /> _cility shall be registered with local enforcement <br /> agency. ' <br /> Procedures cloor = Louin 3 1q 3 n <br /> _8.HSC Section 117935-SQG MWMP \S �lufo� ' }t'M, + D <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. S (n, <br /> _10.HSC Section 117945-SQG not required to pp <br /> register shall keep records for 2 years. q A o 0 ' <br /> _11.HSC Section 117960-LQG shall file MWMP <br /> ulawwn ; l <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. a c <br /> Transportation ' l.�r\ r tr <br /> _13.HSC Section 118030-LQHE application. + <br /> Treatment/Storage S <br /> _14.HSC Section 118135-Shall obtain a permit A 1 W a rvtm <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records 1 w 1 <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste 1 J <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment 1 <br /> unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. A A 5,-1 <br /> _19.HSC Section 118275-MW red bags,path, l <br /> chemo shall be labeled properly. t <br /> 420.HSC Section 118280-MW label&contain l <br /> _21.HSC Section 118285-Sharps label/contain //®� �� <br /> _22.HSC Section 118295-Proper decon used. I V`'L--LM <br /> -923.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. <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Ins, Or Signature R ceived By at <br /> 29 Other-Describe in narrative. <br />