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Date i a -11� <br /> 0 Record ID <br /> Prog Elen'll'tZ1--L, <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name Lohrj,��\U"� >VjLf-) c— Facility Address �—� <br /> Facility Contact Title Phone# <br /> Z <br /> INSPECTION TYPE: EAoutine FiComplaint DReinspection <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 <br /> of medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical —t'-C-'� 'j/�--2T�a <br /> waste., <br /> —3.HSC Section 117890-No large LQG shall 0O 1=C:�O_v <br /> generate medical waste unless registered with 0 <br /> the 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 <br /> waste unless registered or obtained LQHE. <br /> .1 6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <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. <br /> —1 OASC Section 11 7945-SQG not required to <br /> register shall keep records for 2 years. <br /> I 1.HSC Section 117960-LQG shall file <br /> 1�—WMP with enforcement agency. <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 /> —1 4.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat <br /> medical waste prior to treating the waste. <br /> —1 5.HSC Section 118765-All treatment <br /> records 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 <br /> hu—man anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> - —18.HSC Section 118225-Treated sharps shall <br /> e destroyed or somehow prevent public access. <br /> —1 9.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> 20ASC 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 118310-Enclosure labeled. <br /> 24.HSC Section 118305-Cannot reuse drums <br /> 25.HSC Section 117630-Approved biohazard <br /> bag used. <br /> —26.Other-Describe in narrative. <br /> 4nseclt r4Signurqe,,/ Received By <br />