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oaaUt SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL E LT EP T T PR 3 <br /> fi '{ 600 East Main Street, Stockton, CA 95202 <br /> m <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName CoaVcna4 Cure r - FacilityAddress 900 C usG <br /> FacilityContact Ngng, E-s AuRST0,, Title 61'r.Jor 4 Cny-Sp,v,'c>Zs o(401 333- Idaa., <br /> INSPECTION ® Ngoutine oComplaint EiRe-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. j $ '`j S GIC °'! 15 auu,rou 4 'n Ca ok w; <br /> 2.HSC Section 117903-Permit from the <br /> en_forcement agency required to treat medical {v�(� r S ej ickcccr <br /> waste. <br /> _3.HSC Section 117890-No large LOG shall A'1 12iobit tlu 4 S <br /> LL- <br /> generate medical waste unless registered with the ° i tX&J <br /> 6t <br /> enforcement agency. t!L <br /> d 'Pr 11119A <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 La7^(1 j <br /> waste unless registered or obtained LQHE. ° <br /> _6.HSC Section 117903-Shall not treat med �� y ° �m° +oj2 ° <br /> waste without permit from enforcement agency. ; ; 1n S <br /> _7.HSC Section 117908-Common Storage <br /> kf-n fn a LA <br /> facility shall be registered with local enforcement � - 5 <br /> agency. n to <br /> 14 ju-h <br /> Procedures q 1 <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. i f is 3 1' <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. , 1 Z U Wt,3 \� <br /> 11.HSC Section 117960-LQG shall file MWMP '• <br /> with enforcement agency. c HAA,11V rJ <br /> 12.HSC Section 117975-LQG shall keep 1 3 0 aw ® JI <br /> rec rds for 3 years. <br /> Transportation ° U rn1l1 <br /> _13.HSC Section 118030-LQHE application. F. s\ °1CS <br /> - S <br /> Treatrnent/Storae _ ' <br /> _14.HSC Section 118135-Shall obtain a permit g U 016° <br /> from the enforcement agency to treat medical <br /> waste prior to treating_ the waste. J !, ZA !A <br /> _15.HSC Section 118765-All treatment records ` V f, e ° <br /> shall be kept for 3 years. V <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human ��, S f <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. (� a <br /> 18.HSC Section 118225-Treated sharps shall <br /> e 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 1 <br /> _22.HSC Section 118295-Proper decon used. 1 /h `A L1 <br /> _23.HSC Section 118307-Interim storage labeled 1 ev l�l <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 <br /> 28.HSC Section 118222-Incineration Required Ins tOr Signature R8C ny D to <br /> 29 Other-Describe in narrative. 0 <br />