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Hello Alfonso, <br /> To our knowledge, Synergy Health's systems and procedures are adequate. We will verify <br /> that they are utilizing these procedures, as claimed, during our next annual inspection. <br /> Tasha Cheney <br /> Environmental Control Officer <br /> City of Stockton <br /> (209) 937-8793 <br /> >>> "Alfonso Arambula [EH] " <aarambula@sjcehd.com> 5/5/2014 10:36 AM >>> <br /> Hello Tasha, <br /> Per our phone conversation, the Medical waste management act (MWMA) specifies when a <br /> medical waste may be discharged to a public sewage system without treatment, below is the <br /> Health and Safety Code section (H&SC) that references the requirement; <br /> 118215 (b) A medical waste may be discharged to a public sewage system without <br /> treatment if it is not a biohazardous waste of a type described in either subdivision (a) <br /> or (b) of Section 117635, it is liquid or semiliquid, and its discharge is consistent with <br /> waste discharge requirements placed on the public sewage system by the California regional <br /> water quality control board with jurisdiction (RWQCB) . <br /> The MWMA defines fluid blood as a bio-hazardous medical waste in H&SC section 117635 (d) . <br /> The MWMA requires all medical waste be treated pursuant to H&SC section 118215. <br /> If you could provide documentation or a statement from the RWQCB showing fluid blood is <br /> consistent with the requirements placed on Stockton 's public sewage system. As it is <br /> right now, I'm unsure what that looks like, my experience in the medical waste program is <br /> that medical waste generators do not discharge fluid blood into sanitary sewers, the fluid <br /> blood is removed by a medical waste hauler or treated onsite through steam sterilization. <br /> Treatment onsite requires a permit from this agency. <br /> Alfonso Arambula, Sr REHS <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Ave Stockton , CA 95205 <br /> 2 <br />