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SAN JOAQUIN COUNTY Date -7- IS -t <br /> EIIARONMENTAL HEALTH DEPARTMI9 PR 5,:9,166.-S, <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> °gc,FOR�`P MEDICAL WASTE INSPECTION FORM <br /> FacilityName P)A:L •-4,)e-sA- FacilityAddress 2[6- tk . r LL,re_i,, 2A s - A <br /> FacilityContact - so Cmxza via --zs-i - Title&(%Al v" Phone# ^f f-5- -I dx• <br /> INSPECTION TYPE: KRoutine ❑Complaint ❑Re-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 /> _ V �.2.HSC Section 117903-Permit from the r-n��� � r r <br /> enforcement agency required to treat medical eA,%� 1; <br /> waste. <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 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. <br /> _6.1-11SC Section 117903-Shall not treat med Zt <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> _ t <br /> Procedures a <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 /> register shall keep records for 2 years. y — <br /> _11.HSC Section 117960-LQG shall file MWMP , 1 I <br /> with enforcement agency. / r, ll ay�nA al• <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation ✓rr �v't,�� - AA <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage h � t' <br /> _14.HSC Section 118135-Shall obtain a permit —ol Ili , <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-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 /> _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 /> _22.1-11SC Section 118295-Proper decon used. <br /> _23.HSC Section 118307-Interim storage labeled <br /> _24.1-11SC Section 118310-Enclosure labeled. <br /> _25.1-11SC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard ` r »v <br /> bag <br /> 27' ' <br /> HSC Section 118275(g)-Pharm label/store � ff <br /> '� <br /> 28.1-11SC Section 118222-Incineration RequiredI S c O Signature ed By Date <br /> 29 Other-Describe in narrative. <br />