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SAN JOAQUIN COUNTY Date,-1�5-_ <br />*NVIRONMENTAL HEALTH DEPART T PR ,x,36 !'7!7_ <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />F cility ame e rc� l��, ,. r� acuity ddress LU . E_ E6 VO 6,,, <br />FacilityContactU, c'zk -�s-6tvic Title &--V.S- Phone# <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <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 />p. <br />. t t <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />generate medical waste unless registered with the <br />enforcement agency. <br />_4. NSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />_5. NSC Section 117900 -Shall not haul med <br />waste unless registered or obtained LQHE. <br />` <br />i'�� .vtn 411 <br />f- <br />_6.HSC Section 117903 -Shall not treat med <br />waste without permit from enforcement agency. <br />�® <br />Section 117908 -Common Storage <br />Facility <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <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 />�.r r� JC1� I d C ,._,,i <br />l ids �Yt� <br />- <br />4, al e'n-2 L2 &Laz 42 <br />( ► r/14 <br />register shall keep records for 2 years. <br />-I I.HSC Section 117960-LQG shall file MWMP <br />with <br />with enforcement agency..ri:12 <br />_&12.HSC Section 117975-LQG shall keep <br />records for 3 years.> <br />Transportation <br />tt \ / <br />f } <br />it%t• t :-- ? z As'` F'.v'1 6' _e .z ���/!_a <br />_13. HSC Section 118030-LQHE application. <br />Treatrnent/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />_15.HSC Section 118766 -All treatment records <br />shall be kept for 3 years.�Tt <br />_16.HSC Section 118216 -All medical waste <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human <br />& % (. T ,,,/ ,+°' i'�a�✓' <br />( �- E , i 9 <br />�l <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 />i&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 />a23.HSC Section 118307 -Interim storage labeledtt <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 <br />_29 Other -Describe in narrative. <br />o .-A ryVi.n r`l'(1��+a � <br />�. - " - _ •, � I i " ci € I --JZr! <br />. +�.�s-� el& <br />r%`�` -= T a 'I Yl `. ° } 9 JAL e' c:., <br />g <br />a <br />_ <br />M J or Signature -- e eive`� By `' `' Date <br />