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PauiN SAN JOAQUIN COUNTY Date tA11111 _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 5 a. <br /> Z-� 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility arae o NsgAa TL i'v\Aaav�,J 's_FacilityAddress 415 %A) e,-,v► 91% A <br /> FacilityContact Title ?..M. Fps AmAn- Phone# b30 <br /> INSPECTION E: oWoutine ❑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 LL <br /> medical waste. , <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical hSangtUlaQW, <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall ° "k , <br /> generate medical waste unless registered with the x <br /> enforcement agency. 1 <br /> _4.HSC Section 117895-SQG that treats med &A S CU S <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. P <br /> _6.HSC Section 117903-Shall not treat med a ��� q6u + eUQ (MIA)MA <br /> waste without permit from enforcement agency. rr \ n <br /> 7.HSC Section 117908-Common Storage SA)fAS <br /> fa1CC a t�c.� C L1114C� <br /> _cility shall be registered with local enforcement Ly' It <br /> agency. 1 , , �. <br /> Procedures �C <br /> _8.HSC Section 117935-SQG MWMP +S S lZ 11. <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. c t rn 1"k "v(4 t S <br /> 7.11.HSC Section 117960-LQG shall file MWMP ��t)� l7� , Ove <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep 1 ; Q ;� � <br /> records for 3 years. �' j�'u' <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. , , <br /> Treatment/Storage ' <br /> _14.HSC Section 118135-Shall obtain a permit clw fl +n <br /> from the enforcement agency to treat medical 5 5 ® 3 15 I + <br /> waste prior to treating the waste. t 1 eS <br /> _15.HSC Section 118765-All treatment records '1 C co td D y Z9 I`. <br /> 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 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.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 <br /> bag used. <br /> 27.HSC Section 118275(g)-Pharm label/store _ <br /> W-28.HSC Section 118222-Incineration Required Inspe or Signature ece4ed D to <br /> 29 Other-Describe in narrative. <br />