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Date � <br /> Record IDez:��jo <br /> SAN JOAQUIN COUNTY Prog Elem_qS_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E. Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM P <br /> Facility Name (Zlo,ra l-1e"44.rFacility Address <br /> FacilityContact C� D2r� C S-t�t�c� Title ��r, ✓��cf✓ hone# 3q -03qj <br /> INSPECTION TYPE: utine ❑Complaint ❑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. <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical it tQa:Ac C <br /> waste.. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with - ++ <br /> the enforcement agency. SIr1r1 Ll <br /> _4.HSC Section 117895-SQG that treats med5 <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med :jP^„� 1 �1�p }C�i� r l 9/tG� C'lM� n P&,\a . AA A TSnl i <br /> waste unless registered or obtained LQHE. ""'I""S <br /> 6.HSC Section 117903-Shall not treat med I K3AS-t:-r cv- oA <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 /> 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 /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LOG shall file <br /> MWMP with enforcement agency. <br /> _12.HSC Section 117975-LOG 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 /> Tu—man 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 Iabel1contain <br /> _22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118310-Enclosure labeled. <br /> _24.HSC Section 118305-Cannot reuse drums i <br /> Ea-g- <br /> Section 117630-Approved biohazard i <br /> bag used. <br /> 26.Other-Describe in narrative. " <br /> — In pect r S gnature Received By <br />