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"L"`• <br /> it COUNTY Dat <br /> SAN JOAQUIN <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR h�2--Jn4D <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> ....... MEDICAL WASTE INSPECTION FORM <br /> 0 <br /> FacilityName NIAIMIiL YadfityAddress 4aS IA- &NeA"tk Rte±"*A <br /> FacilityContact Lck'Alc& 4n)Vct _jitle A*- Phone am,ij�ji,;A,A Alc�o- I-0, <br /> A <br /> INSPECTION TYPE: ,Zoutine ElComplaint EiRe-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. CIA`, LXA�K 1 <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical 6k LxA,� i vy-A o �4 Q0tA±kj ry'1(A <br /> waste. r L <br /> —3.HSC Section 117890-No large LQG shall II (L70MC7 F4 <br /> generate medical waste unless registered with the <br /> enforcement agency. (PtAAC- MIA4 6, <br /> —4.HSC Section I I 7895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med CAC) <br /> waste unless registered or obtained LQHE. <br /> 6.1-11SC Section 117903-Shall not treat med *-JA 'IL't gi <br /> 919113, <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> fa-c7ility shall be registered with local enforcement fVVAi C411 WPJ e- Mt4f\k t4 An_ <br /> agency. 'I <br /> Procedures h)tLj' Ovi"D AlLe. Ons rex, eJ-3. <br /> —8.HSC Section 117936-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. JA" NS—10.HSC Section 117945-SQG not required to 11 - <br /> register shall keep records for 2 years. <br /> I I.HSC Section 11 7960-LQG shall file MWMP <br /> with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep Tf JCN,�T ��OW' ,� L(�LWJS Lie AN <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 "M <br /> From the enforcement agency to treat medical <br /> waste prior to treating the waste. C-�-VA M� Uk-U 4C Q S- i' �6 r,,O I.A <br /> 15.HSC Section 11 8765-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 /> ,cbemo shall be labeled properly. <br /> 20.1-11SC Section 118280-MW label&contain <br /> ill.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 /> 26.1-11SC Section 117630-Approved biohazard <br /> bag used.27.HSC Section 118275(8)-Pharm label/store <br /> -28.HSC Section 118222-Incineration Required InspQtor Signature Received By Date <br /> 29 Other-Describe in narrative. <br />