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0 <br /> SAN JOAQUIN COUNTY Date 5 19 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0 t 11,11;a- <br /> c :j 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> QC�FeR�' <br /> FacilityName >nyc. ,,A Cajv,lok L1L FacilityAddress `[W 1)® C uro� <br /> FacilityContact biofit. u� v�,c`c�, Title Dijhc- k0 0� V' Phone oil -)aa� <br /> a <br /> INSPECTION TYPE: outine ❑Complaint ❑Re-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. ZiS <br /> —2.HSC Section 117903-Permit from the �'S•' � <br /> enforcement agency required to treat medical sLA <br /> waste. n <br /> _3.HSC Section 117890-No large LQG shall i�., A� CA ELL,,r),( <br /> generate medical waste unless registered with the la i t35 n <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med ftl <br /> S S e <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. ^ <br /> _6.HSC Section 117903-Shall not treat med d t W H �- <br /> waste without permit from enforcement agency. 1 <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement C V t J I <br /> agency. <br /> Procedures LgdfAl 0a S <br /> _8.HSC Section 117935-SQG MWMP VV 1 11 <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. t <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LQG shall file MWMP , > <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep i1 <br /> ILIA <br /> 12 5 <br /> records for 3 years. <br /> Transportationt1 I a LL c90 Sx.. <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit r <br /> From the enforcement agency to treat medical <br /> waste prior to treating the waste. �, I <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. ` s <br /> _27.HSC Section 118275(g)-Pharm label/store , r\. <br /> _28.HSC Section 118222-Incineration Required Inspe r Signature Re6eived By 4Dte <br /> 29 Other-Describe in narrative. <br /> PAG e 3 <br />