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4 <br />SAN JOAQUIN COUNTY 41 Date 1af13 <br />ENVIRONMENTAL HEALTH DEPARTMENT PR0521o'71$ <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName <br />��.li�"� <br />Lade ®1G►1kS1S <br />FacilityAddress 't�10 W-keGrnkn <br />Ln." <br />FacilityContact <br />�nt�, <br />mtins °O� <br />Title AA'4,ghv- Phone#(—(a <br />1 -S -g88� <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator 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 <br />waste. <br />HSC Section 117890 -No large LQG shall <br />I ll`�°�"-j ..(VV <br />, <br />} S 107 (41-411 <br />a✓ J <br />_3. <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 />Section 117903 -Shall not treat med <br />' <br />�tl�(eta�� s <br />_6.HSC <br />waste without permit from enforcement agency.7 <br />_ck <br />7.HSC Section 117908 -Common Storagee`' <br />l^ SIAU _ <br />rk <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 />eyS S (Gil Pmt/') , <br />register shall keep records for 2 years. <br />—{ j <br />3- 1$ � 1 3 t L�vl�$ S <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />�2IHSC Section 117975-LQG shall keep <br />records for 3 years. <br />+ <br />u fo(A t.Xkfi i 1 W kk e. ct c,fl u <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />From- <br />waste prior to treating the waste. <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 />_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 />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 />_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 />bag used.- <br />2LL3 <br />27.HSC Section 118275(g)-Pharm label/store <br />A 10%heV%AA, <br />Insp for Signature R6&ved By Date <br />28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />