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*SAN JOAQUIN COUNTY Date, zJ_to-!�( <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> IFORa`P MEDICAL WASTE INSPECTION FORM <br /> FacilityName kr- ,u-)�PC4j re_, Com— FacilityAddress Z586 ;?:> LA4j,narL Ajn�: <br /> FacilityContact Alf1. �taeLj s Title e z,,� Phone# S3 aL-,<a-13 <br /> INSPECTION TYPE: routine []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. <br /> _2.HSC Section 117903-Permit from the °� V 7�� v 1i i3 Q_ ../;f L4 41 <br /> enforcement agency required to treat medical y <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <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. &.� f rA C��4�Rv _ t�t Cl K7i%.� t°_.Jda_�FC <br /> _5.HSC Section 117900-Shall not haul med •` Y�LM1t z�Jr'1 '1Pf_4. ,-Wtti f-- <br /> waste unless registered or obtained LQHE. �y <br /> _6.HSC Section 117903-Shall not treat med' r�� � eA cgrAj lC CA.AC A /'f.� _ :�f 3 I`I <tyt <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage '1 `� X111 - <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. ­1 � <br /> 11 i�l CJ �_yl,M Q it 1- C3YZ�S ! tL YA0 C:z 1 irf- 1 '", P <br /> _10.HSC Section 117945-SQG not required to � �'� <br /> register shall keep records for 2 years. �, <br /> —1 1.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. 3 i <br /> _)L12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation i <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage c1c,;' Q- V'-r,— e i/,z <br /> _14.HSC Section 118135-Shall obtain a permit VIP,y�6APY �+ -a L`-�, °��<�i � wo il,� <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records ➢ M <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. C4 �(� ��Y' 1^P ly, f s'rL�Le <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 /> ,X20.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. /D <br /> _27.HSC Section 118275(g)-Pharm label/store < <br /> _28.HSC Section 118222-Incineration Required V0S ect ignature Ce ed y Da <br /> 29 Other-Describe in narrative. <br />