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®Pqul Date I <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEO PR <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> urfl, <br /> FacilityNarne j0ctj,-6 e.%Ak-"Cj <br /> - I Facil:i!�Cy'Address Ili 6S, jL4Q&�t <br /> hone# -2-FacilityContacv :8 <br /> ,Q3 -30-79 <br /> INSPECTION TYPE: []Routine ElComplaint Ve-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 /> '6enerator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical =�L Laa L-d 44= 9 r-F Z- <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall ac',icx:� 'Z? <br /> generate medical waste unless registered with the <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 med '(.tr)OCe Je <br /> waste without permit from enforcement agency. <br /> —7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <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. <br /> 11.HSc Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. a ILC& t <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 /> ;h—all 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 /> bedestroyedor 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 1118286-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 /> ba-g used. x, <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> 28.HSC Section 118222-incineration Required / n cto&bgnature keceivWBY Date <br /> 29 Other-Describe in narrative. <br />