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SAN JOAQUIN COUNTY Date <br />ENVIRONMENTAL HEALTH DEPARTME PR 53 (2i 7_t2 <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityContact <br />Phone#I <br />■ r • E]Re-inspec= <br />VIOLATION(S) <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 />waste. <br />_3. HSC Section 117890 -No large LQG shalli� <br />r' �� 1 r �a /A <br />generate medical waste unless registered with the <br />enforcement agency. <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 />9= til <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />' <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />c L-A- <br />_8.HSC Section 117935-SQG MWMP <br />Section 117943-SQG Shall keep47 <br />L> 1 i l <br />_9.HSC <br />records for 3 years. <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.Vl <br />7 / <br />t <br />17 t <br />7,42.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />vv- <br />From the enforcement agency to treat medical <br />waste prior to treating the waste. <br />Mrj ✓' -\ °t �3�? !A. _CfB .J ZJ� [ � _` L� �- C' -V- of ifjc l'? 6f <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 />y7 j� �, 7�n ✓��C) 7 1, L� �7' d� Z' /� kTG [ JCc(J <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 />tig9.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />_20.1-11SC 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 />,fig used. <br />V`27.HSC Section 118275(g)-Pharm label/store <br />9" s - 3 <br />I e o Signature eceiv y Date <br />28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />A5 z <br />