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SAN JOAQUIN COUNTY 0 Date9-1b-ZL2 <br /> E IRON ENTAL HEALTH DEPARTMENT PR j515!Gy 1 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> ( .0, N <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityNarne Ec <br /> A6 _FacilityAddres 'ffigg (L . r1iaAzJn Lvi, ts�Yi� <br /> FacilityContact -Ela Title6.�n®kx if-, o44i­ze e--Phone# Clqs-g98D <br /> .1 <br /> INSPECTION TYPE: %Routine oComplaint []Re-inspesti <br /> on <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. 'r L\'x <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical :LIZ, <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall _ VI-4 C-4 'i C_ <br /> generate medical waste unless registered with the <br /> enforcement agency. CA 10 1 j2 1 6 j v--N'Y)r-, JAAgo <br /> —4.HSC Section 11 7895-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 jL,-Lj,L_)CL <br /> 6ZA <br /> CA <br /> waste without permit from enforcement agency. <br /> —7.HSC Section 117908-Common Storage on CA I(e-m r1h 11&_Cj <br /> facility shall be registered with local enforcement CAPjine-'rck <br /> agency. im= <br /> Procedures <br /> —8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to An a <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file mvviviv <br /> with enforcement agency. <br /> )K,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 no <br /> From the enforcement agency to treat medical 1V_V I <br /> waste prior to treating the waste. V <br /> 15.HSC Section 118765-All treatment records <br /> 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 human <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <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 /> Kh mo shall be labeled properly. <br /> 20.HSC 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 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 q_D'T-10 <br /> —28.HSC Section 118222-Incineration Required *IS;ignatture Received By Date <br /> 29 Other-Describe in narrative. <br />