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SAN JOAQUIN LOCAL HEALTft' l <br /> ICT <br /> P. <br /> 1601 E. HAZELTON AVENUE, 0. B <br /> STOCKTON, CA 95201 — PHONE: (209) 468-3420 <br /> INFECTIOUS WASTE INSPECTION 2FORM <br /> COMPUTER NO. 1� LASP dam- S <br /> PERMIT NO. �"� ` <br /> �7nspecron a e <br /> PERMITS & PROCEDURES DUA L e t,`,a 6 <br /> STR. OPER. Premise Address Rechodk Date <br /> 1. PERMIT TO OPERATOR ©`�C -7 u <br /> 2. PROCEDURES B POLICY & THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> T _ _ (up to date,on tile,with H.D.) <br /> 3. INFECTIOUS WASTE IDENTIFIED <br /> T 4. PROVIDE COPY MATERIAL DATA SHEET <br /> 5.IDENTIFY HANDLING FROM A � �1 f n /1 S Qo— f, y� a 7/V CG/- <br /> GENERATION'fn DISPOSAL j/�L-�� (_ <br /> t( <br /> _ 6 DISINFECTING 8 CLEAN-UP IDENTIFIED i'J'1 +t t C. ct' b•It.1. <br /> 7.AIR POLLUTION INCINERATION PERMIT Q l ' S t Gt C S <br /> ON FILE t J/A- <br /> 8.ANNUAL CALIBRATION CHECK /� > , <br /> FO, STERILIZER (/ l S 4 y-, t: Gt —4 s 41 a'1 "1� �'*'10 <br /> _ 9. BAG STRENGTH ON FILE ©�L — D Y� ( t.l 5 W� YJ-%0 t U �►'� <br /> (165•gram,strength) 1 <br /> STORAGE/CONTAINERS <br /> 10. PROTECTION FROM I SECT$/RODENTS. <br /> WIND,RAIN,&ANIMALS VV 1� 6 f i cLLS .51IL- <br /> T 11. SEGREGATED AT POINT OF ORIGIN 0 L e V 0 C e-6W LA_-ems-S `L-0 <br /> —r <br /> 12 SEPARATE FROM OTHER WASTES 6 (C [, �A.-c- Lla <br /> 13, CONTAINERS IN LOCKED AREA REQUIRED pItL w k G Al L 4' L,s G O r•• e �t <br /> 14.WARNING SIGN IN ENGLISH F. <br /> SPANISHIVISABLE 0 V-y j / I <br /> 15.ON SITE STORAGE TIME ! lig�►'f sy� �'O L G/ O�tJ .n C e-i D L� S <br /> 16. LEAKPROOF. PUNCTURE-RESISTANT �O �'�a i s Lt <br /> CONTAINERS & BAGS OLS ,L S L <br /> 17. BAGS LABELED INFECTIQUS <br /> WASTE f BIO-HAZARD D <br /> _/18.TIGHTLY LIDDED CONTAINERS 0 <br /> ✓ 19. CONTAINERS LABELED-BOTH SIDES 8 TOP <br /> 20 CONTAINER WASH AREA PROPER)_Y <br /> DRAINED WITH HOT WATER 't�5��'`7b(L <br /> TREATMENT/DISPOSAL <br /> 21. REGISTERED HAZARDOUS <br /> WASTE HAULER /I /A <br /> 22. INCINERATION for _ <br /> _ 23. HEAT STERILIZATION ' lAr _ <br /> 24. DRAIN TO A SANITAeRY SEWER LINE <br /> 25.REUSABLE CONTAINERS CLEANED EACH <br /> GINE THEY ARE EMPTI[D 8 PROPERLY <br /> l� ��SANITIZED 0 k- 1r'��r�lI`�l <br /> _ 26. LEAKPROOF DUNPSTER ON SITE 6�/ SANITARIAN RE CEIVED BYAZ <br /> EH W 01 <br />