Laserfiche WebLink
SAN JOAQUIN COUNTY <br />EN RONMENTAL HEALTH DEPARTME <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName Z)rWAVC-- X4 i 4l . <br />FacilityContact, -N- v1 l rvtu lr <br />Date 4„ 1-1 -1 j <br />PR tiSk 1A 9 <br />IityAddress 61140 pX.+ k>- Ale- <br />ne# !!�/ 7 -7 -1181-7 <br />INSPECTION TYPE: VRoutine []Complaint ❑Re -inspection <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />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 <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />' <br />generate medical waste unless registered with the <br />enforcement agency. <br />�y 47 C-G`Yl �Cn,1�l n,t,F+,y► -�"— Z..t" ko— oq4 _ <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 <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />A <br />ei c\k <br />waste without permit from enforcement agency. <br />Section 117908 -Common Storage <br />yL <br />_7.HSC <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />J- <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />u <br />����, A <br />register shall keep records for 2 years. <br />_1.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />>' 12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />C -2! <br />_13. HSC Section 118030-LQHE application. <br />�. p <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />�/` <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />j <br />c�-. <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 />` 'r - <br />anatomical parts shall be disposed of by interment <br />_ <br />unless otherwise hazardous. <br />_ <br />_18.HSC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />_K19.HSC Section 118275 -MW red bags, path, <br />9010 <br />chemo shall be labeled properly. <br />20.HSC Section 118280 -MW label & contain <br />`21.HSC Section 118285 -Sharps label/contain <br />]S22.HSC Section 118295 -Proper decon used. <br />X23.HSC Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />Section 118305 -Cannot reuse drums <br />_25.HSC <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 Requiredn <br />29 Other -Describe in narrative. <br />w3 r Signature ceiv d By Date <br />v <br />