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SAN JOAQUIN COUNTY Date 7-;1-L3 <br /> ENVIRONMENTAL HEALTH DEPARTME PR 5 <br /> $< <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> 9cIFORMEDICAL WASTE INSPECTION FORM <br /> FacilityName -A) + of _FacilityAddress 3t t�-ed. <br /> FacilityContact Title Phao.ne#q5-5' - 7&,Z-7` �+ <br /> tcf <br /> INSPECTION TYPE: utine ❑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 /> _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 /> sw3e.®'._ <br /> enforcement agency. ®®... - �cn e <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. "' �&"Dar, -- 'M" `� tx13C - e <br /> _5.HSC Section 117900-Shall not haul med , P �,, , t y , v� <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med 1Ag,d Lw is a I r rQ c fhaau CPQ I <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. A±U-nn <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP , <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. s <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. Cd- <br /> _12.HSC Section 117975-LQG shall keep o <br /> records for 3 years. CC <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit ,� <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 /> _16.1-11SC Section 118215-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 /> 20.1-11SC 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 t _96— <br /> bag used. A 7+/3, <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> �28.HSC Section 118222-Incineration Required Or Signature eceived By Date <br /> Inp` C <br /> 29 Other-Describe in narrative. <br />