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�< °U�" oG MEDICAL WASTIISPECTION REPORT • Date: b�..,,.. -Z. San Joaquin County Environmental Health Department Program� p� 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 1 R 6S is 6 `p. (209)468-3420 Program �tc0, www.siogv.org/ehd Element: 11536 Facility Name Address City Zip Code Delta Blood Bank 2888 W.March Ln. Stockton 95219 Facility Contact Title Phone Number Email Inspection Type Elayda Podesta Director of Quality and 209-943-3830 elaydap@deltablo Routine Compliance odbank.or The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment ❑ 1 HSC 117890-No LOG shall generate medical was unless ❑ 17 HSC 118130-All onsite medical waste treatment facilities shall registered with the EA. be permitted by the EA. ❑ 2 HSC 117950-LOG shall register with the EA prior to generating medical waste. ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. ❑ 3 HSC 117903-Permit from the EA is required prior to treating ❑ 19 HSC 118215-All medical waste shall be treated pursuant to medical waste. this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4. register with the EA. ❑ 20. disposed of by interment,incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. El 6 HSC 117928-Common Storage Facility shall have permit El 22 HSC 118225-Sharps waste shall be treated pursuant to this fissured by the EA. section. ❑ 7 HSC 117890-LOG shall notify EA 72 hours prior to Containment/Storage participating in temporary event. HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth ❑ 8' participating in tem ora event. ❑ 23' in this section. HSC 118275-Medical,biohazardous,sharps,trace chemo, Records/Documentation ❑ 24 pathology,or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. ❑ HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored 10. treatment and shipping and tracking records for 3 years. El 26' pursuant to this section. ❑ 11. HSC 117945-SQG not required to register shall maintain ❑ 27 HSC 118295-Containers shall be washed and decontaminated information document and transportation records for 3 years. pursuant to this section. ® 12. HSC 117960-LOG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical waste shall not be used for other storage. HSC 117975-LOG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and ❑ 13. tracking documents for 2 years. E] 29. marked with proper signage. Transportation ❑ 30. HSC 118310-Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other ❑ 15. HSC 117976-MOT exemption requirements for LOG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: Ela da H.Podesta Signature:_ - Phone:209-943-3830 Specialist: Print: Harprit Mattu,Sr REHS Signature: J. Phone: 209 468-3284 jV Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 EH-08/2015 &I