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SAN JOAQUIN COUNTY Dated �3 1 <br /> z' °% ENVIRONMENTAL EALT EP T E T I <br /> , { 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> allt rinlnoOL'. Bc, s�rrFacilityAddress 53ab C'kL <br /> FacilityContact ( 4dKI (9iW\emu"' Title e 46q)X111- <br /> TYPE: Woutine oComplaint oRe-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 11 <br /> medical waste. rl16(� _ T�� �at�,'��U t1tcCAs �h S1w11Tn1$ tin UPd�e.�l <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical ; C� (`ntilll ti l C1 <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall j <br /> generate medical waste unless registered with the S�bn,'I $�3®/la, Ij <br /> enforcement agency. 11 �91A l <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 N ; , EU6VkIA S <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med 3 I1 n1 ,o C 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 2 _ I' •S o 5 ee' t 5 �a if <br /> _8.HSC Section 117935-SQG MWMP ,,,,1`L L� <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to 1 <br /> �re ister shall keep records for 2 years. 3 o j1WC LQf <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. 3I 'a— & M•S 7 <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatrnent/Storage <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 <br /> be_destroyed or somehow prevent public access. <br /> _19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> 20.HSC Section 118280-MW label&contain <br /> 21.HSC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. <br /> _23.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 tr A.fii e� <br /> _28.HSC Section 118222-Incineration Required Insrfdctor Signature Received y Date <br /> 29 Other-Describe in narrative. <br />