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� MEDICAL WASTOISPECTION REPORT pate:. San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: Ph i- \ P (209) 468-3420 www.siogv.org/ehd Program Element: S Observations and Corrective Actions: 12. The medical waste management plan (MWMP) does not contain all information listed in HSC 117960. - MWMP shall contain all information listed in HSC 117960. HSC117960 The Medical Waste Management Plan requires updating with information on AGR which is used to ship biohazardous waste off site in addition to Stericycle which is the primary medical waste hauler. Submit an updated copy of the Medical Waste Management Plan to the EHD by 3/8/19. 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly lid, clean, in good repair and appropriately labeled. - Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight -fitting cover, and be kept clean and in good repair. Container shall be labeled with the words "Biohazardous Waste" or "BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c) The ice chest in the specimen room is not labeled with biohazardous waste signs as to be visible from all lateral sides. Submit evidence of correction to the EHD by 3/8/19. Note: 1) Stericycle is the primary medical waste hauler for the facility. Medical waste is picked -up from the facility once per week. The biohazardous waste picked -up by Stericycle consists of waste generated during practice surgeries and surgical specimens. The surgical specimens picked -up by Stericycle without respect to quantity or weight are (1) hands, wrists and elbows, (2) shoulders, (3) hips, (4) feet and ankles, and (5) knees. All surgical specimens are shipped to Oregon and incinerated. The other waste is shipped to Stericycle facilities within California. 2) AGR is a secondary medical waste hauler for the facility. AGR is both the source and the medical waste hauler for the torsos used as surgical specimens in the facility. The torsos are returned to AGR as waste for incineration. Some specimens are used more than once. Once they are deemed waste, they are picked -up by AGR. 3) The facility uses hampers with red bags for containerizing biohazardous contaminated towels which are then washed and reused. The hampers should use yellow biohazardous waste bags for contaminated towels, and only use red biohazardous waste bags for shipping waste off site. 4) Medical waste is stored in the surgical lab, the specimen room, the men's and women's restrooms, and the laundry room. The biohazardous waste containers in the restrooms are used for disposable scrubs and sharps. The biohazardous waste container in the laundry room is for sharps. 5) The red biohazardous waste bags in use in the facility for shipping waste off site meet both the ASTM D1709 and ASTM D1922 standards. Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 2 of 2 EH -11/17