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o qurN c SAN JOAQUIN COUNTY Date `aa'- az- <br /> E IRONMENTAL HEALTH DEPARTME T PR t,5 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> /FOMEDICAL WASTE INSPECTION FORM RS <br /> FacilityNamer—&oscepj CeAzz t FacilityAddress 94to &. ;y f-- <br /> FacilityContact ih; Title Phone# 7,6& <br /> INSPECTION TYPE: outine ❑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 <br /> medical waste. <br /> _2.HSC Section 117903-Permit from the a-� 71ALLa, l V j,` -4 j3 _ fl;in <br /> enforcement agency required to treat medical r <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the �S r <br /> enforcement agency. 1- t <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 ,All \ &U01/1, Ivy- 1AYrC <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med rC <br /> waste without permit from enforcement agency. f <br /> _7.HSC Section 117908-Common Storage +, <br /> facility shall be registered with local enforcement <br /> agency. Vj <br /> Procedures 1A �yk id 212112 e <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 �'"�''� �� .Sy.�YYI b Y"' �3� I 1 P,✓t i�, <br /> re aster shall keep records for 2 years. EA <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. r1 e <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> LA <br /> Transportation - ti <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage ®��/ve✓t �� S�� `�`'1 <br /> _14.HSC Section 118135-Shall obtain a permit ,�P C �„) t 'h S f� <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> 15.HSC Section 118765-All treatment records <br /> s—hall be kept for 3 years. <br /> _16.HSC Section 11821 5-All medical waste VA 64 <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment l <br /> unless otherwise hazardous. la e yl ! J® <br /> 18.HSC Section 118225-Treated sharps shall f <br /> be_destroyed or somehow prevent public access. v <br /> _19.HSC Section 118275-MW red bags, path, <br /> chemo shall be labeled properly. <br /> ,X_20.HSC Section 118280-MW label&contain y J- e_ <br /> _21.HSC Section 118285-Sharps label/contain <br /> _22.HSC Section 118295-Proper decon used. L C r <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 /> _27.HSC Section 118275(g)-Pharm label/store -t - <br /> 28.HSC Section 118222-Incineration Required I r Signature eCe ed By Date <br /> 29 Other-Describe in narrative. <br />