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SAN JOAQUIN COUNTY • Date 5-x-11 <br /> c ENVIRONMENTAL HEALTH DEPARTMENT PR 5 ,15 <br /> Q 600 East Main Street, Stockton, CA 95202 <br /> j (209)468-3420 <br /> cq�rFOR�`p MEDICAL WASTE INSPECTION FORM <br /> FacilityName LAVA- x.164A� FacilityAddress r-A m Lan c_ <br /> FacilityContact 'Nyye_` (�i�?�t� Title Phone# �:3 �j <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. Ig <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall v. <br /> generate medical waste unless registered with the <br /> enforcement agency. `� <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <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 /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement ' <br /> r-,rnAny- <br /> agency. <br /> a <br /> Procedures [ZZ L) NA".0 Me', f <br /> _8.HSC Section 117935-SQG MWMP _ <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. - S <br /> _10.HSC Section 117945-SQG not required to <br /> IS <br /> shall keep records for 2 years. — <br /> 11.1HISC Section 117960-LQG shall file MWMP <br /> wi h enforcement agency. <br /> 2.HSC Section 117975-LQG 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 permit <br /> from the enforcement agency to treat medical N . <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. A ` <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human t I <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, �� 11 -y- 0 1 <br /> ch mo shall be labeled properly. <br /> 20.HSC Section 118280-MW label&contain j/ <br /> 21.HSC Section 118285-Sharps label/contain <br /> 2.HSC Section 118295-Proper decon used. <br /> 41 <br /> 23.HSC Section 118307-Interim storage labeled C <br /> _24.HSC Section 118310-Enclosure labeled. an <br /> 25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard <br /> bag used. �S- <br /> _27.HSC Section 118275(g)-Pharm label/storeL6, <br /> —28.HSC Section 118222-Incineration Required I gC Signature R676eivk By ate <br /> 29 Other-Describe in narrative. / <br />