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�pPaui , c® 0 SAN JOAQUIN COUNTY 10 Date 51gq.1 I <br /> z: cg ENVIRONMENTAL HEALTH DEPARTMENT PR -A0I) <br /> ' 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> c °P MEDICAL WASTE INSPECTION FORM <br /> i A <br /> FacilityNam \tie 0. i �Cu,14 N'Qgg4c. FacilityAddress q)-5 U- &teftvitA <br /> FacilityContact e.,Xn- ' a"'eS1 Title t-Am FaU �iJ n n,. Phone# C� 3 --03q <br /> INSPECTION TYPE: DkRoutine ❑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. , ® @fc' t,rc- 4c, t <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical , J 011 LzA 4A <br /> waste. r 1 <br /> _3.HSC Section 117890-No large LQG shall 1 <br /> Ls- <br /> generate medical waste unless registered with the 1` t J -4 + h j <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.HSC Section 117903-Shall not treat medcf- <br /> waste without permit from enforcement agency. <br /> 7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement C ' �&&j®t, , ; ,1 ±30L'i 17 <br /> agency. <br /> Procedures ; h <br /> —8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. a S Lt ,n ; wue-., <br /> _10.HSC Section 117945-SQG not required to 0 <br /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. t <br /> _12.HSC Section 117975-LQG 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 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.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 /> 20.11-11SC Section 118280-MW label&contain <br /> 1.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 d <br /> bag used. <br /> _27.HSC Section 118275(g)-Pharm label/store Z <br /> _28.HSC Section 118222-Incineration Required Inspebior Signature R ceived By Date <br /> 29 Other-Describe in narrative. <br />