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U 'I" �o <br />MEDICAL WAST116SPECTION REPORT • <br />Date: <br />2- / ! IEj <br />Treatment <br />San Joaquin County Environmental Health Department <br />Program <br />pp <br />El <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Record: <br />QLa 5736 152- <br />S2(209) <br />(209) 468-3420 <br />Programu <br />Element: <br />Liszt-) <br />www.siogv.org/ehd <br />El <br />2' <br />Facility Name <br />Address <br />City <br />Zip Code <br />Wine Country Care Center 321 w. turner rd. <br />Lodi <br />95240 <br />Facility Contact <br />Title Phone Number <br />Email <br />Inspection Type <br />Paul G. Gross <br />Administrator (209) 334-3760 <br />HSC 117903 - Permit from the EA is required prior to treating <br />Routine <br />The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety <br />Code (HSC). <br />Received by: print: Pafl1 G Grose Signature:� / hone: (209) 33A- 37610 <br />Specialist: Print: Harprit Mattu, Sr REHS Signature:-! Phone: (209) 468-3284 <br />Reinspecion onlabout: A reinspection fee of $130 per hour may be charged. Page 1 of 2 <br />EH -0812015 <br />Registration <br />I <br />Treatment <br />F11' <br />HSC 117890 - No LOG shall generate medical waste unless <br />El <br />17' <br />HSC 118130 - All onsite medical waste treatment facilities shall <br />registered with the EA. <br />be permitted by the EA. <br />El <br />2' <br />HSC 117950 - LOG shall register with the EA prior to <br />El18. <br />HSC 118165 -All treatment records shall be kept for 3 years. <br />generating medical waste. <br />El <br />3" <br />HSC 117903 - Permit from the EA is required prior to treating <br />El <br />19 <br />HSC 118215 - All medical waste shall be treated pursuant to <br />medical waste. <br />section. <br />HSC 118220 - Pathology waste of a human nature shall be <br />❑ <br />4' <br />HSC 117925 - SQG that treats medical waste onsite shall <br />❑ <br />20. <br />disposed of by interment, incineration, or an approved <br />register with the EA. <br />alternative. <br />HSC 117900 - Shall not haul medical waste unless registered, <br />HSC 118222 - Contaminated pathology waste, trace chemo <br />❑ <br />5. <br />common carrier, trauma scene practitioner, or exempted <br />❑ <br />21. <br />waste, or pharm waste from health care settings shall be treated <br />under the MOT exemption. <br />by incineration or an approved alternative. <br />❑ <br />6" <br />HSC 117928 - Common Storage Facility shall have permit <br />❑ <br />22' <br />HSC 118225 - Sharps waste shall be treated pursuant to this <br />issured by the EA. <br />section. <br />❑ <br />7 <br />HSC 117890 - LOG shall notify EA 72 hours prior to <br />ContainmenttStorage <br />participating in temporary event. <br />F1 <br />8" <br />HSC 117895 - SQG shall notify EA 72 hours prior to <br />El <br />23' <br />HSC 117630 - Biohazard bag shall meet the standards set forth <br />partici atin in temporary event. <br />in this section. <br />HSC 118275 - Medical, biohazardous, sharps, trace chemo, <br />Records/Documentation <br />❑ <br />24 <br />pathology, or pharmaceutical waste shall be segregated and <br />contained pursuant to this section. The container shall be <br />properly labeled. <br />❑ <br />9. <br />HSC 117935 - Registered SQG shall file MWMP with the EA. <br />® <br />25 <br />HSC 118280 - Biohazard bags shall be containerized and <br />stored pursuant to this section. <br />❑ <br />10. <br />HSC 117943 - SQG required to register shall maintain <br />El <br />26. <br />HSC 118285 - Sharps waste shall be containerized and stored <br />treatment and shipping and tracking records for 3 years. <br />pursuant to this section. <br />El <br />11. <br />HSC 117945 - SQG not required to register shall maintain <br />El <br />27. <br />HSC 118295 - Containers shall be washed and decontaminated <br />information document and transportation records for 3 years. <br />pursuant to this section. <br />® <br />12. <br />HSC 117960 -LQG shall file MWMP with the EA. <br />El <br />28. <br />HSC 118305 - Reuseable drums or conainters used for medical <br />waste shall not be used for other storage. <br />® <br />13. <br />HSC 117975 - LOG shall maintain treatment and shipping and <br />El <br />29" <br />HSC 118307- Intermediate storage area shall be secured and <br />tracking documents for 2 years. <br />marked with proper signage. <br />Transportation <br />❑ <br />30 <br />HSC 118310 - Designated accumulation area shall be secured <br />and marked with proper signage. <br />❑ <br />14. <br />HSC 117946 - MOT exemption requirements for SQG. <br />Other <br />❑ <br />15. <br />HSC 117976 - MOT exemption requirements for LQG. <br />❑ <br />31. <br />❑ <br />16. <br />HSC 118032 - Pharmaceutical waste hauling exemption. <br />❑ <br />32. <br />Received by: print: Pafl1 G Grose Signature:� / hone: (209) 33A- 37610 <br />Specialist: Print: Harprit Mattu, Sr REHS Signature:-! Phone: (209) 468-3284 <br />Reinspecion onlabout: A reinspection fee of $130 per hour may be charged. Page 1 of 2 <br />EH -0812015 <br />