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Date 6'&610 Z <br /> Record <br /> Prog Elern q5-'I <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 c&-Q .Facility Address 2RZ <br /> Facility Contact ,,, Phone# <br /> U <br /> INSPECTION TYPE: *�Routine ElComplaint EIReinspection <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 2jL2 :St-/)Cie a d.4 la ke-W. <br /> enforcement agency required to treat medical M11af: <br /> waste. - - <br /> —3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with <br /> the enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med <br /> waste shall register with enforcement agency. azi- 2-ccf2aima--s <br /> —5.HSC Section 117900-Shall not haul med rr <br /> b4:Vevo <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage r -1I;e4 ts-f !2,1:17hof rare <br /> - <br /> facility shall be registered with local enforcement <br /> agency. q <br /> Procedures <br /> —8.HSC Section 11 7935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> —I O.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> I 1.HSC Section 11 7960-LQG shall file <br /> iWN-MP 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 /> —14.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat <br /> medical waste prior to treating the waste. <br /> 15.HSC Section 118765-All treatment <br /> records shall be kept for 3 years. <br /> 16ASC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable <br /> human anatomical parts shall be disposed of by <br /> interment 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 /> aierno 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 /> :43.HSC Section 11831 O-Endosure labeled. <br /> —24.HSC Section 118305-Cannot reuse drums <br /> 25.HSC Section 117630-Approved biohazard <br /> Ea--g used. <br /> 26.Other-Describe in narrative. <br /> fnsktof &gnafturej 4cei$9dBy <br />