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Date (01(,104 <br /> Record ID <br /> Prog Elern-qMZ-0 <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 GR3)rniQM Facility Address m1ain <br /> Facility Contact Phone <br /> — 4 <br /> INSPECTION TYPE: NAoutine oComplaint DReinspection <br /> VIOL TIONS) <br /> Regdftration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> --Vi.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation LcEA 1&.3 inSOt2 <br /> of medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical �Gpj <br /> wasW.' __C) T_).eii:� <br /> HSC Section 117890-No large LQG shall Ik t <br /> generate medical waste unless registered with <br /> the enforcement agency. C 7 N <br /> —4.HSC Section 117895-SQG that treats med O-ZaLA Lola- <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 <br /> waste without permit from enforcement agency. rel I c a( J&�as AA2UEy4C4AQ4a± 2�� r-nf--- <br /> THSC Section 117908-common Storage <br /> fa—cility 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. r-n+- <br /> -10.HSC Section 117945-SQG not required to 4aCC <br /> register shall keep records for 2 years. <br /> 1 1.HSC Section 11 7960-LQG shall file j <br /> W-MP with enforcement agency. <br /> 12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation C'-Rl L <br /> -13.HSC Section 118030-LQHE application. <br /> freatment/Storage .0 <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 /> —1 5.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 /> h6`man anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. r PC" i2r-11429-122 ov- i 4,.\.k 1 W-4-- <br /> 18.HSC Section 118225-Treated sharps shall CIJT�"ell <br /> -6-e destroyed or somehow prevent public access. <br /> 19.HSC Section 118275-MW red bags,path, r) <br /> I- <br /> chegao shall be labeled properly. U <br /> 20ASC 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 /> 24.HSC Section 118305-Cannot reuse drums P.M <br /> —25.HSC Section 117630-Approved biohazard <br /> bag used. h l C+�7— <br /> 26.Other-Describe in narrative. <br /> — I spe for gignature Received Byj <br />