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PqurN SAN JOAQUIN COUNTY Date ` I <br /> AIRONMENTAL H LTH DEPARTM f PR ! 7 <br /> y -A 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> e <br /> c `P MEDICAL WASTE INSPECTION FORM <br /> at�F®gea <br /> FacilityName P,� Flop tve- F cili Address s9_5 8A Lr n <br /> FacilityContact At Title 51v�YcAoje&6 t Phone# 0q_;3 9-- 7 <br /> INSPECTION TYPE: outine []Complaint DRe-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. - 1:Z k4 _r. <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. a <br /> _3.HSC Section 117890-No large LQG shall .S <br /> generate medical waste unless registered with the <br /> enforcement agency. V <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 &I all, <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage 2 1 C) l <br /> facility shall be registered with local enforcement i2u L'2 <br /> agency. <br /> Procedures <br /> _8.1-11SC Section 117935-SQG MWMP <br /> _9.1-11SC Section 117943-SQG Shall keep <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 l <br /> t enforcement agency. t�.Sti � c 1 J J[ <br /> 12.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 /> From the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records ()LOAR r6 <br /> shall be kept for 3 years. <br /> _16.1-11SC 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. 71— <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 /> _20.1-11SC Section 118280-MW label&contain <br /> 21.1-11SC Section 118285-Sharps label/contain <br /> _22.1-11SC Section 118295-Proper decon used. <br /> _23.1-11SC Section 118307-Interim storage labeled <br /> 24.1-11SC Section 118310-Enclosure labeled. Alf <br /> _25.HSC Section 118305-Cannot reuse drums <br /> 26.1-11SC Section 117630-Approved biohazard <br /> ba_g used. c <br /> _27.HSC Section 118275(g)-Pharm label/store Z2 2 yzff` <br /> _28.HSC Section 118222-Incineration Required I O Signature R6ceivedby at <br /> 29 Other-Describe in narrative. <br />