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p4�tN SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR ;3& L5; I <br /> ti{ 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> cq�,FOR�`P MEDICAL WASTE INSPECTION FORM <br /> FacilityName lbek6..,AAA h L c'rr'L FacilityAddress t-�Lm Ln'n.e- <br /> FacilityContactDc&al-Z j z. Title iI i i w-4 �� Phone# `33:�--I -3 8 -5-- <br /> INSPECTION <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. <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 <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 -PA in <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med i <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 /> _8.1-11SC Section 117935-SQG MWMP <br /> _9.1-11SC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> LLs, <br /> shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> _&wi enforcement agency. G- <br /> 12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage I Jys <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 /> _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 <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall r <br /> be destroyed or somehow prevent public access. <br /> _19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> _k20.HSC Section 118280-MW label 8"contain j - <br /> 21.HSC Section 118285-Sharps label/contain <br /> 2.11-11SC Section 118295-Proper decon used. "C— lr <br /> 3.HSC Section 118307-Interim storage labeled <br /> aw <br /> ]k2 <br /> Section 118310-Enclosure labeled. <br /> _25.1-11SC Section 118305-Cannot reuse drums <br /> 26.HSC Section 117630-Approved biohazard i <br /> ba—g used. �� �T �S / <br /> 27.HSC Section 118275(g)-Pharm label/store ��7 f � <br /> 28.HSC Section 118222-Incineration Required In' ' ct. Signature Received y ate <br /> 29 Other-Describe in narrative. <br /> �t� <br />