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6 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />1 W. r, <br />FacilityContact GA if --r H- gaga <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the generation of <br />medical waste. <br />_2. HSC Section 117903 -Permit from the <br />l <br />(� S <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />-(� S ' 1 ? , , Q. <br />7C+ - <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 medQm <br />1 -1 <br />) S un In e�tetYt <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />- 1 [t Jt—' u S (A It-, i T <br />facility shall be registered with local enforcements <br />agency. <br />Procedureso� <br />e. 11;0% IcLw <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />pU� �{ l SS 1 1S 1 S <br />y l <br />L Al 1w, C >'\ te, p (1 S1lL' <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />':K11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />C '- t r ,, S <br />t + , S <br />C <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />t,Ase_ <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />c 1 <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />i G anti <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 />1- <br />, <br />_17.HSC Section 118220 -Recognizable human <br />anatomical parts shall be disposed of by interment <br />(,\\ L f f" <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 />4R23.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. <br />_27.HSC Section 118275(g)-Pharm label/store <br />Inspedor Signature ceived y ate <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />