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AOL <br /> W 0 <br /> SAN JOAQUIN COUNTY Date 7/9�3,/Xu <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> S6 MEDICAL WASTE INSPECTION FORM <br /> Facility Name Q.33,pp-poo Vk"kkwc_ --FacitAddrt� ess 'aaao Cuor)"n an T, 19, <br /> -Ixw \j <br /> FacilityContact qo\^,\ mrXxs-rn1LA- Title rAk-,�,r�,4>,.,I -Phoned.�6 �- <br /> INSPECTION TYPE: 'ARoutine DComplaint olke-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 o <br /> medical waste. <br /> 2.HSG Section 117903-Permit from the <br /> enforcement agency required to treat medical ..A2 f .11 w GPAIAI'l (Vf\1'rrn'PA <br /> waste. \1- <br /> -3.HSC Section 117890-No large LQG shall e. T`nAAAV\? <br /> generate medical waste unless registered with thej <br /> enforcement agency. 11bi 11 <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 V7 S— E A 04 426= N <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med 4k, ova-A 10-4 A -7h,AIA- <br /> waste without permit from enforcement agency. -7 <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> 8.HSC Section 117935-SQG MVVMP <br /> 9.HSG Section 117943-SQG Shall keep VC&LX -V\ <br /> records for 3 years. i A 11�11 1ARf- <br /> —10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. AA <br /> r1-Z 111.1-11SC Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> 12.HSC Section 117975-LQG shall keep <br /> re rds for 3 years. �42j!L<,Dbd�'n+1 <br /> Transportation (&-kw4 S <br /> —13.HSC Section 118030-LQHE application. AM <br /> Treatment/Storage <br /> e. <br /> -14.HSC Section 118135-Shall obtain a permit fc_LO I 61�� 4�- <br /> From the enforcement agency to treat medical <br /> waste prior to treating the waste. �rvu i n ickI4 <br /> 15.HSC Section 118765-All treatment records I <br /> shall be kept for 3 years. <br /> --16.HSC Section 118215-All medical waste V\9, (y)121M(Ak W lk4w (A fIlUAIC <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 /> ---I 8.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.HSG 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 —LL <br /> bag used. <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> 28.HSC Section 118222-incineration Required lnsp&lor Signature Received By Date' <br /> 29 Other-Describe in narrative. <br />