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Date l4 <br /> Record 2 5 2z�5 <br /> Prog Elern 4� <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 NameCxay-)b o HeaA*o -co, - FacilityAddress s. No.�A,: l Aa-��c- <br /> Facility Contact r',an If.;;Acc e,✓ Title O[il, C., `)' r-ec-&✓— hone <br /> INSPECTION TYPE: outine ❑Complaint ❑Reinspection <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 <br /> of medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> e—nforcement agency required to treat medical #11 <br /> waste., <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with <br /> the enforcement agency. AL 5C 2� 1 <br /> _4.HSC Section 117895-SQG that treats med JQ <br /> waste shall register with enforcement agency. n <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 )fY3-'J O-A k(w V7LO �, ( �.SL ll_ <br /> waste without permit from enforcement agency. tt <br /> 7._ HSC Section 117908-Common Storage �5 rl ,SDC�S�r.1Z V--er��f -'X f (-0 <br /> fa <br /> cility shall be registered with local enforcement O(' ' C� 1 r��----� i 1 c� oZ f���— �[ ,pll� ea <br /> agency. �6� � <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP t <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> re aster shall keep records for 2 years. o <br /> 11.HSC Section 117960-LQG shall file <br /> MWMP with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation 61 <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage , <br /> _14.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat T <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 /> human anatomical parts shall be disposed of by <br /> interment 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 Iabelfcontain <br /> _22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118310-Enclosure labeled. <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 /> — cto ignatu a Received By <br />