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Date_k LaJQ�- <br /> Record rD_n5-,_,9, <br /> L <br /> og Elern <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave., Third Floor, Stockton, CA 9520ZUHj 20"�_ <br /> IWNT 4A1 (209)468-3420 <br /> T [iEPjT!J <br /> ENV!M"N",,11[7.1N, <br /> MEDICAL WASTE INSPECTION FORM PEFI&IM-1 <br /> Facility NameL_18rnbro Hec3-�-hCn_rjo_ Facility Address US(p S Nom, N-aA�:Gcc, <br /> Facility Contact :Ey::'\e-,_n Title--('A 502:��_ <br /> INSPECTION TYPE: outine oCompl aint OReinspection <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 /> -denerator shall register with the enforcement <br /> agency prior to commencement of the generation <br /> of medical waste. <br /> 2.HSC Section 117903-Permit from the U <br /> h�Q Mc6cal LLL2 <br /> nforcement agency required to treat medical <br /> waste.. r <br /> —3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with CA <br /> the enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med -T)FV-,-fML)_C(f (ICAC <br /> waste unless registered or obtained LQHE. Q�� <br /> _9 <br /> 6.HSCSecdon 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement V1 <br /> agency. <br /> Procedures <br /> 8.HSC*SecUon 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. oke_6 rf i3 r A r-,,7 A A' C2, <br /> —I OASC Section 117945-SQG not required to <br /> re ter shall keep records for 2 years. <br /> I.HSC Section 11 7960-LQG shall file <br /> MWMP with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep71 1221P -Cht— <br /> records for 3 years. Q-Y\ <br /> Transportation 1 M, el, <br /> —13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storage ij <br /> —1 4.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 /> —ITHSC Section 118220-Recognizable <br /> human anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> —18.HSC Section 118225-Treated sharps shall <br /> be 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 118310-Enclosure labeled. <br /> 24ASC Section 118305-Cannot reuse drums <br /> 25.HSC Section 117630-Approved biohazard <br /> bag used. <br /> —26.Other-Describe in narrative. <br /> cto igr <br /> gn <br /> ctature Received By <br />