Laserfiche WebLink
SAN JOAQUIN COUNTY 40 Date 21LA I m <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0,<;3(p IXa <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName -FacilityAddress SNS 18j. ri <br /> FacilityContact-106A� 6-161e, Title AAm1n),4sct+ar Pho r-L 0 i)i�ss <br /> INSPECTION TYPE: JkRoutine EiComplaint olte-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. Man I -T�arp- 3 UL&I C4 LA)UCori <br /> 2.HSC Section 117903-Permit from the - jn <br /> +tr QktL <br /> enforcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall nu% �YN <br /> generate medical waste unless registered with the <br /> enforcement agency. 0 0�yl ILI 1� <br /> —4.HSC Section 117895-SQG that treats med <br /> a <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med Cixk5'1&L <br /> waste unless registered or obtained LQHE <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. rVA &lr\ <br /> 7.HSC Section 117908-Common Storage <br /> Taci7lity shall be registered with local enforcement <br /> agency. Nj-f c,,-,e, <br /> Procedures sC*I q 3 1 &tj <br /> 8.HSC Section 117935-SQG MWMP ILA h ", 0 <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not requited to <br /> register shall keep records for 2 years. <br /> 1 1.HSC Section 11 7960-LQG shall fife MWMP <br /> with enforcement agency. M301 Cal [A1 b I1D- <br /> -12.HSC Section 117975-LQG shall keep <br /> records for 3 years. Ini-L rf�t� 9- WOMIr Lmccrn <br /> Transportation Si SQ�Ak' <br /> mil [DUCT-, (kp <br /> —13.HSC Section 118030-LQHE application. <br /> Treatment/Storage �n�DA - /No -A <br /> 14.HSC Section 118135-Shall obtain a permit ex",j t-d�o r * 1'141i cA-& 10 <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. �(A <br /> 15.HSC Section 118765-All treatment records 0 <br /> shall be kept for 3 years. I <br /> 16.HSC Section 118215-All medical waste Tj I <br /> shall be treated pursuant to this section. uD4'1A' A+ <br /> 17.HSC Section 118220-Recognizable human ila G-0(-' j to a, In 4tr <br /> fc ':1i- pDf'C\ <br /> anatomical parts shall be disposed of by interment — - \3 <br /> unless otherwise hazardous. cAt Ti.A MU4 Tr .1 1 <br /> CI <br /> 18.HSC Section 118225-Treated sharps shall <br /> jC <br /> bedestroyedor somehow prevent public access. ak I S QA�V'- 1 f2l\Wd j <br /> —19.HSC Section 118276-MW red bags,path, o f S'4t <br /> h mo shall be labeled properly. <br /> 20.HSC Section 118280-MW label&contain CL c\jci nQ,- >^4v- I� o LULDai <br /> —21.HSC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. <br /> C3 <br /> A_23.HSC Section 118307-Interim storage labeled <br /> ,g_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(8)-Pharm label/store <br /> —28.HSC Section 118222-incineration Required Inspor Signature Received By Date <br /> 29 Other-Describe in narrative. <br />