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SAN JOAQUIN COUNTY Date Zhc3113 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0519 Ito <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> . .0.... MEDICAL WASTE INSPECTION FORM <br /> FacilityName 5,elfcx FacilityAddress 555 w� -Q-Icn 1�0 Or- <br /> .\j <br /> ')-� Qfn' �.Jnq'\ <br /> FacilityContact &Y�P_ej, M)%Aintlt� Title F*,�-X Phone# <br /> INSPECTION TYPE: 91,1putine oComplaint oRe-inspection <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. <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med !2V 1AA' .411! <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 u-CA OA <br /> waste without permit from enforcement agency. <br /> —THSC Section 117908-Common Storage UAA," <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> \j <br /> 9.HSC Section 117943-SQG Shall keep IJ <br /> records for 3 years. <br /> ___7 10.HSC Section 117946-SQG not required to <br /> register shall keep records for 2 years. <br /> 1 1.HSC Section 11 7960-LQG shall file MWMP <br /> �ith enforcement agency. <br /> —12.HSC Section 117976-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 pen-nit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> 15.HSC Section 11 8765-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 11821 5-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 /> —1 9.HSC Section 118275-MW red bags,path, <br /> chemo 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 13 <br /> -28.HSC Section 118222-Incineration Required Insp Aktor Signature Receild ti, <br /> 29 Other-Describe in narrative. <br />