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OPauiN o 0 SAN JOAQUIN COUNTY • DateLl-10-l� <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR jj <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> F o `P MEDICAL WASTE INSPECTION FORM R� <br /> FacilityName CA& FacilityAddress �_ 3� �u n�v►1 r�— <br /> �n v►�'an n.fz,. l <br /> FacilityContactt� ,-� n�rJs Title��,.�_ Phone#_�3� - 1Z <br /> INSPECTION TYPE: Aoutine []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 ` <br /> enforcement agency required to treat medical k, <br /> waste. eAQVye Mr e;% <br /> r <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. 1' <br /> A& vnt-lLrA <br /> _4.HSC Section 117895-SQG that treats med v0 rw-" <br /> waste shall register with enforcement agency. ` C'��y".�/ -` <br /> _5.HSC Section 117900-Shall not haul med t 11 J Ile- _1 4&�p A_4- 4✓ !; <br /> iNj . !A'VA,\ <br /> waste unless registered or obtained LQHE. 9p _ <br /> _6.HSC Section 117903-Shall not treat med LCA Y'..lE�:�� (g�1 ��V'�-_VC,4CL r'tj["l t l S 64 1;r 1 'T" <br /> waste without permit from enforcement agency. ( l I <br /> _7.HSC Section 117908-Common Storage t'-TJYI-�-1V-7-- _ 11..� �t-� / 7.�c'�l k 1 7 A Py-?--, <br /> facility shall be registered with local enforcement \ �r <br /> agency. ' <br /> Procedures AC �1 e-' <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep T �l -[A\ <br /> records for 3 years. , <br /> 10.HSC Section 117945-SQG not required to 0� 1 1fA.tlt',k .2Lf� A Y Y1cyl e— <br /> _ t <br /> register shall keep records for 2 years. l L�IIC.ICJ!' ,�"�� ,r� '\' -t f •� <br /> _11.HSC Section 117960-LQG shall file MWMP <br /> i h enforcement agency. F.J <br /> 12.HSC Section 117975-LQG shall keep <br /> records for 3 years. � ''�� "► - 1�-4yl410 e7 +D q b�0'C-iV\_ <br /> Transportation . f-t� ! _t.� AL_)h2M,2_t <br /> _13.HSC Section 118030-LQHE application. xy <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit �. �/'vwi <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records �{ - <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste Dtii� <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human4tjntrA IJC-1 G L <br /> jgl <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. _64D-f'1 <br /> _18.HSC Section 118225-Treated sharps shall r � t I � <br /> be destroyed or somehow prevent public access. ='n•t c U� n Y t�J`� e))- A fi., j <br /> —19.HSC Section 118275-MW red bags, path, CO �� c�JL �� <br /> chemo shall be labeled properly. <br /> _pQ20.HSC Section 118280-MW label&contain 1� - 1 <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. <br /> 27.HSC Section 118275(g)-Pharm label/store l <br /> _28.HSC Section 118222-Incineration Required P Or ig ature Re eived By De <br /> 29 Other-Describe in narrative. <br />