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SAN JOAQUIN COUNTY Date 5111h <br /> �. cy ENVIRONMENTAL HEALTH DEPARTMENT PR X53 jj9a <br /> too*e. 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName Conycncka ar,- Lock; 1.L.c- FacilityAddress qOO 1�0- C�txry <br /> FacilityContact 18c1-ArrTitleNf Ai of CnU. 'au Phone# a0 333 -1)aa- <br /> INSPECTION TYPE: Routine ❑Complaint ❑ e-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 ULRA <br /> waste. ° , <br /> _3.HSC Section 117890-No large LQG shall �S b 11 P i <br /> generate medical waste unless registered with the o U �, <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. t ° JCS' ° <br /> 'lll SA <br /> _5.HSC Section 117900-Shall not haul med a L <br /> waste unless registered or obtained LQHE. 1 ' <br /> _6.HSC Section 117903-Shall not treat med "[ f L �l� (D <br /> waste without permit from enforcement agency. t° .OINI1 <br /> _7.HSC Section 117908-Common Storage <br /> Facility shall be registered with local enforcement ie '� x t ► ��f <br /> agency. ti <br /> Procedures S Q i on, u- b u a <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.1-11SC Section 117945-SQG not required to GS f SOt l.� <br /> register shall keep records for 2 years. ,5 a >oL <br /> _11.HSC Section 117960-LQG shall file MWMP S v , <br /> with enforcement agency. 'L 61hal-a 111 <br /> _12.HSC Section 117975-LQG shall keep �1 <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage I 't <br /> _14.HSC Section 118135-Shall obtain a permit CL1 Si g t e <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. l nGv <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste cJl a� <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. Ull <br /> _18.HSC Section 118225-Treated sharps shall N v <br /> be destroyed or somehow prevent public access. v , ,cu"" <br /> -k-19.HSC Section 118275-MW red bags,path, <br /> TQhI mo shall be labeled properly. <br /> .�c 20.11-11SC Section 118280-MW label&contain <br /> _21.1-11SC Section 118285-Sharps label/contain 1 <br /> 22.1-ISC Section 118295-Proper decon used. , l <br /> _23.HSC Section 118307-Interim storage labeled <br /> T24.HSC Section 118310-Enclosure labeled. <br /> _25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard <br /> bag used. �— <br /> _27.1-11SC Section 118275(g)-Pharm label/store <br /> —28.HSC Section 118222-Incineration Required Inspecfor Signature Received By Date <br /> 29 Other-Describe in narrative. <br /> PA6.16 2 <br />