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SAN JOAQUIN COUNTY Date 9 y l5' 1Z <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR �1536 <br /> �• 600 East Main Street, Stockton, CA 95202 <br /> U): < <br /> (209)468-3420 <br /> cq�ir oR��P MEDICAL WASTE INSPECTION FORM <br /> FacilityName Pkj,a ikkDnd.-� FacilityAddress gZ5��v--t-l�rn � t� <br /> FacilityContactA, 1'l��- }1ner..�S Title Phone# 839•'6. _7_3 <br /> INSPECTION TYPE: p8outine []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. , tib�>✓ t {n <br /> _2.HSC Section 117903-Permit from the I/L <br /> enforcement agency required to treat medical S �- <br /> waste. <br /> _3.HSC Section 117890-No large LOG 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. <br /> _5.HSC Section 117900-Shall not haul med n��� r 117 I 1n� 1 t S[ P_5 it �1��/7y►T'L�' <br /> waste unless registered or obtained LQHE. (� <br /> _6.HSC Section 117903-Shall not treat med W^���iGy 61 ["t 1Y" <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage - <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures "��� ' L L ' <br /> _8.HSC Section 117935-SQG MWMP �- vyl <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. ��,� Ga,r t� y���-� b-Y-N- cn 1i\ <br /> _10.HSC Section 117945-SQG not required to 1 <br /> re aster shall keep records for 2 years. L-9 i 0 <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep JAI _ <br /> records for 3 years. - <br /> Transportation Avxl ti 'r')e es V10�- ince ✓z° °-1^ Ct�v►n nl�/-� <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit a <br /> from the enforcement agency to treat medicalb _ <br /> waste prior to treating the waste. 5 f <br /> _15.HSC Section 118765-All treatment records 1141M ! � E <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste < ain C. e� 1 G , ) <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human \ • - Cti C <br /> anatomical parts shall be disposed of by interment iL <br /> unless otherwise hazardous. � o <br /> _18.HSC Section 118225-Treated sharps shall _ <br /> be destroyed or somehow prevent public access. 2L-) G.- f7_3 <br /> _19.HSC Section 118275-MW red bags, path, , t _ <br /> chemo shall be labeled properly. <br /> _C20.HSC Section 118280-MW label&contain j <br /> 21.HSC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. - `� <br /> r,� fix <br /> _23.HSC Section 118307-Interim storage labeled / 3�v ar l <br /> Y_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 /> _ CX?THSC Section 118275(g)-Pharm label/store ('�lG 7 <br /> _28.HSC Section 118222-Incineration Required S erc gnature eceived By ate <br /> 29 Other-Describe in narrative. <br />