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pp�u!N O SAN JOAQUIN COUNTY Date'5V��1( <br /> EN IRONMENTAL HEALTH DEPARTMEI�7T PR ! j <br /> A 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> OR�`P MEDICAL WASTE INSPECTION FORM <br /> FacilityName N„a o linn tFacilityAddress 1,5a- 3 E. 11cLej1 R�-'wco <br /> FacilityContact,(*�CA" C I i ✓ Title <br /> INSPECTION TYPE: Routine []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 <br /> e—nforcement agency required to treat medical - <br /> waste. r� T- <br /> _3.HSC Section 117890-No large LQG shall e-nn P Z- I ?') r"._) c"1 l/� ,.h1�C�I�1 f'f irA � Yl <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 IZ <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med C <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage �. <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP G 1 <br /> _9.HSC Section 117943-SQG Shall keepV0110 <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. CA <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. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage ( <br /> _14.HSC Section 118135-Shall obtain a permit LC, J i <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records M .� � <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 /> e jestroyed 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 /> 27.HSC Section 118275(g)-Pharm label/store <br /> =28.HSC Section 118222-Incineration RequiredI Signature Recei By Date <br /> 29 Other-Describe in narrative. <br />