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o au!N. ° SAN JOAQUIN COUNTY Date 7- / 7_ /Z <br /> EMPRONMENTAL HEALTH DEPARTME PR <br /> ,�. 600 East Main Street, Stockton, CA 95202 <br /> P. <br /> (209)468-3420 <br /> q�/so Rr'� MEDICAL WASTE INSPECTION FORM <br /> FacilityName ,tn ��� � �, � ��,_z FacilityAddreSST1c1Ayt ��- <br /> FacilityContact/1; L4x, &c,.wu\re,z_ Title hz_4-,v- Phone#JO`i-8)3 - -70 <br /> INSPECTION TYPE: ORoutine []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 /> _2.HSC Section 117903-Permit from theme-� ���''� _ <br /> enforcement agency required to treat medical ,S il'lo /��//t cc�tYlt�. �_1P Y!y/Cc� <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. A <br /> f_J / T1 <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 ' - y <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med c .V <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage10 <br /> facility shall be registered with local enforcement v <br /> agency. <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP <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. �} "(��Z _ \AC 4`4�, ,n L2_�-2�s <br /> _11.HSC Section 117960-LQG shall file MWMP 1 ' , -r- I - <br /> with enforcement agency. �� ` C� � 'r <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.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. 7// <br /> 7 <br /> 27.HSC Section 118275(g)-Pharm label/store o?' �'`� <br /> _28.HSC Section 118222-Incineration Required ture Re eived Byj bate <br /> 29 Other-Describe in narrative. <br />