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SAN JOAQUIN COUNTY Date 11011ITD <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR OS"ta90 <br /> ¢a -� 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> C9��FOR��P MEDICAL WASTE INSPECTION FORM <br /> FacilityName TSt L A 614111145- S FacilityAddress Li3S W. —Ke.1t-rlti P10J&_ 1-A <br /> FacilityContact 0anieA111L DP_S L& \'&' Title 9-0) Fu, A!j Atky;n- Phone# o! 4 -per_ <br /> INSPECTION TYPE: p.Routine []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 /> \�`Y,3 l O - �hC e?�es'a souk l a��u,m>a.la���� ct Fcy, (��CS rNai <br /> _2. HSC Section 117903-Permit from the J <br /> enforcement agency required to treat medical �(J�VC TWA- OSC1f�er WuJt�it�u� StiUYI . �r�C il�l7l�lntc m� <br /> waste. tt <br /> _3. HSC Section 117890-No large LQG shall sVaW ceuA <br /> generate medical waste unless registered with the �) 1 _ u� t .� <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med , (,DS rc,u «l 1]J l 0 <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 tk 110 <br /> waste without permit from enforcement agency. L 11 � p I 1 1 <br /> _7.HSC Section 117908-Common Storage l L�Gt STC. r b(1TKA IM-5 Q)( L �C& 2 n c = <br /> facility shall be registered with local enforcement `t�� �J�1A p,D. ` �OnT 11 <br /> agency. 1 <br /> Procedures <br /> Wt <br /> \nr �1�1y.7ti C'S9 9)a `J`I <br /> 5 �iil�a�atu�bt.� GN ter <br /> _8.HSC Section 117935-SQG MWMP l .1 <br /> t 1�4 1 A t71� �J�nc t 2 a.rr� .1t `1 <br /> _9.HSC Section 117943-SQG Shall keep 1ll 1 <br /> records for 3 years. v S S�G ►vU ' 't - (l�ilcr rig S <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. 000- i , N&1t S VO U0 <br /> 11.HSC Section 117960-LQG shall file MWMP 1 /� <br /> with enforcement agency. i I- S\XL G' ('s. W ll,(A <br /> Y, 12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation 3) -:1�e« ,ups a ANaAs(`c> cu,l cUn4a�n� iY. <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage �_�intc,ctiJocti W� �� lt!ut awry �i Was <br /> _14.HSC Section 118135-Shall obtain a permit ;'Ou n <br /> from the enforcement agency to treat medical l l �t <br /> waste prior to treating the waste. e 1 rnrn..c(.i cLP <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. i l <br /> _16.HSC Section 118215-All medical waste - t�, i i3 ��JY �3wC►21�n S 11l)1�f11(� <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human 011,owl e SZ, i�`iNf lllljE)g <br /> `�� � <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. I1 g - (L Q 'A120 1!2-SILt(bl� '61011t9-81101) c(hZ$ u-1 17. <br /> _18.HSC Section 118225-Treated sharps shall l_ t <br /> be destroyed or somehow prevent public access. iu c c `J►l b� m�'���t'��a J' <br /> _19.HSC Section 118275-MW red bags, path, <br /> chemo shall be labeled properly. —� <br /> �20.HSC Section 118280 MW label&contain Wtt s , o� a� S� V n« Dor L10et�• <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 /> X24.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(8)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Insp for Signature Received By Date <br /> 29 Other-Describe in narrative. <br />