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OpgViN, o SAN JOAQUIN COUNTY Date _7 -I i-t'Z- <br /> 2''' °cZ 0- RONMENTAL HEALTH DEPARTMEP PR a U3;, <br /> 4 { 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facilit Name fir, cti r�li a Facil't�/Address �� f, . Y'1c_, r� i,. 2-,, <br /> Y L��. ty <br /> FacilityContact �,� r lac Title 5Lj <br /> Phone# i-L17� <br /> INSPECTION TYPE: kRoutine ❑Complaint []Re-inspection <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 of \ 1 <br /> medical waste. t Yf"1 2.HSC Section 117903-Permit from the �Y 6� �,1 t1�:�� ) �C' .cam <br /> e—nforcement agency required to treat medical t> � 17� rn (Ji w tir'_ �-C.�/ CL CXt u <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall Aiq)r- 17 <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. �1''� e��:_\ ��� �< i '� J�(u <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 L <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage I )eA.5 <br /> facility shall be registered with local enforcement ( >`k <br /> agency. bc'_t-�x enc c �- .�c_.1 c_ <br /> Procedures i Cd-564 <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. -[yt�.t�C_ `( <br /> _10.HSC Section 117945-SQG not required to `� <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. ` <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. Jai L � <br /> Transportation �- <br /> � <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> From <br /> Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. ex "' <br /> _16.HSC Section 11 8215-All medical waste ` 1 <br /> LA'- <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human L <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. l . �" C - <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 G l t <br /> bag used. G� <br /> _27.HSC Section 118275(g)-Pharm label/storeL'xc't <br /> _28.HSC Section 118222-Incineration Required I e Signature R Ce V d By Date <br /> -429 Other-Describe in narrative. <br />