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' Date.10 11 doll <br /> Record I <br /> Prog Elem <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name���Y>b Facility Address 42G U2 Kenfe�r(sj :Tlrx�q_ <br /> Facility Contact � CLQ Q0 Title C 9 t� Phone# <br /> INSPECTION TYPE: outine OComplaint ❑Reinspection <br /> VIOLATION(S) <br /> Re Istration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC Section 117955-1-arge Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation <br /> of medical waste. c t U <br /> 2.HSC Section 117903-Permit from the <br /> enfor ment agency required to treat medical C <br /> wa 3.HSC Section 117890-No large LQG shall c <br /> generate medical waste unless registered with <br /> the enforcement agency. I <br /> _4.HSC Section 117895 SQG that treats med +yn./0 f , e.1no <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. , pp f j <br /> _6.HSC Section 117903-Shall not treat med G c l t' <br /> on <br /> waste without permit from enforcement agency. <br /> 7.HSC Section 117908-Common Storage I <br /> fa—cility shall be registered with local enforcement i + (-- <br /> agency. <br /> Pr edures <br /> HSC Section 117935-SQG MWMPt,-, <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. 1�n0ac,�n1 c,Vii,yrs �yJ(i cf o "�' Q tr <br /> 10.HSC Section 117945-SQG not required to <br /> reg' er shall keep records for 2 years. !`M!t ivvDn C YY\rY�P/� p v Ino n 1 v-) :-�cam- <br /> 11.HSC Section 117960-LQG shall file <br /> MWMP with enforcement agency. a 1 jja' Jb 0:1�Y rp <br /> _12.HSC Section 117975-LQG shall keep '�� �� � �� � n <br /> records for 3 years. L2LL- 4- o o <br /> Transportation <br /> 13.HSC Section 118030-LQHE application. <br /> T— <br /> reatment/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 /> hu_man anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall <br /> destroyed or somehow prevent public access. <br /> be19.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 118310-Enclosure labeled. d <br /> _24.HSC Section 118305-Cannot reuse drums <br /> _25.HSC Section 117630-Approved biohazard <br /> bag used. <br /> 26.Other-Describe in narrative. <br /> In pec lor Sfgnatu4 Received By <br />