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I Date <br /> Record IDS ;� <br /> C <br /> SAN JOAQUIN COUNTY Prog Elem � <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 'FA 1 - ( V,; ,Qa-,y-cb Facility Address lLAaArch <br /> Facility Contact--T�-riAAe t!a, Ip .jec �S Title (_�I ay— ht,r;ane Phone 'S 2� <br /> INSPECTION TYPE: JdRoutine OComplaint ❑Reinspection <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, -4# .;a<. 0 l La� A t� t A10 0 a� �ra� �-A<, -f-t-, <br /> _2.HSC Section 117903-Permit from the �� � � Y1 <br /> enforcement agency required to treat medical _ l SYt3Ta'i Cf- n o y Qo,✓mac}r� �r'o�nr c.a r <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 117895-SQG that treats med <br /> waste shall register with enforcement agency. �r` �^^ r--)n .) N.0 A�r 11 0 <br /> _5.HSC Section 117900-Shall not haul medCjI�� j7 n lLA- 71 1[9 Gm <br /> waste unless registered or obtained LQHE. 1 _-T- <br /> 6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. 2 , <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement i r <br /> agency. <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 <br /> re ster shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file <br /> MWMP 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 /> _16.HSC 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 /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain <br /> 21.HSC Section 118285-Sharps label/contain <br /> _22ASC Section 118295-Proper decon used. <br /> _23.HSC Section 118310-Endosure labeled. <br /> _24ASC Section 118305-Cannot reuse drums <br /> _25.HSC Section 117630-Approved biohazard <br /> bag used. e <br /> 26.Oer-Descrbe in narrative. dorgnatureIn ecelved By <br />