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U <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 X1,06 <br />Record -lb, C;e <br />Prog Elem <br />Facility Name k on P,,, Facility Address <br />Facility Contactt Title�c�, sek���, .(�1� Phone # LL- <br />INSPECTION TYPE: routine <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 />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />,^ <br />ped % �� I �)�C ��� S l�<)-%"� r CJ ` % 7�✓l �� t PC \ . <br />_ kj <br />waste.. <br />_3. HSC Section 117890 -No large LQG shall <br />generate medical waste unless registered with <br />the enforcement agency. <br />_4. HSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shalt not haul med <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 />agency. <br />Procedures <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 />register shall keep records for 2 years. <br />_11.HSC Section 117960-LQG shall file <br />MWMP with enforcement agency. <br />_12.HSC Section 117975 -LOG 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 />_ <br />permit from the enforcement agency to treat <br />medical waste prior to treating the waste. <br />- <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 />_ <br />human anatomical parts shall be disposed of by <br />interment unless otherwise hazardous. <br />_ <br />_18ASC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />_chm19.HSC Section 118275 -MW red bags, path, <br />eo shall be labeled properly. <br />_20.HSC Section 118280 -MW label & contain <br />_ <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 />_ <br />bl <br />Ea—g- used. <br />25.HSC Section 117630 -Approved biohazardAns <br />26.Other-Describe in narrative. <br />r Signa ure Receiv y <br />