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o qury SAN JOAQUIN COUNTY Date S /T-1-3 <br /> ENVIRONMENTAL HEALTH DEPARTMEM PR S i <br /> Q 2� 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> • <br /> 1/FORP• MEDICAL WASTE INSPECTION FORM <br /> AS` <br /> FacilityName���'. FacilityAddress 1513 <br /> FacilityContact k)',c-y A; c li Title W Phone# -;;.;Z- �3 a U <br /> INSPECTION TYPE: ,foutine ❑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 11�vfiY�- /)1�err <br /> medical waste. �� <br /> _2.HSC Section 117903-Permit from the LL1� 1 <br /> L �W <br /> enforcement agency required to treat medical <br /> waste. 11 <br /> _3.HSC Section 117890-No large LQG shall - <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. �1 f <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. Z <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. j <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep 1Y r"l f r ° L,�l`Gr K (AA vn 6.yL'-kr.tit <br /> records for 3 years. \ <br /> _10.HSC Section 117945-SQG not required to ���' ^> A�! <br /> ' ��r,�L l` �� ��C, <br /> register shall keep records for 2 years. -_ <br /> _11.HSC Section 117960-LQG shall file MWMP 1 � � <br /> with enforcement agency. t <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 �, A��yy��yi G«? S f YI UJ T yn--;Lc�— <br /> from the enforcement agency to treat medical (( <br /> waste prior to treating the waste. 'f(T� TY7 Un�r__,4,f>r nr <br /> 15.HSC Section 118765-All treatment records <br /> s-hall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste S , 4 �-- <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human �e - <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 /> _27.HSC Section 118275(g)-Pharm label/storer <br /> _28.HSC Section 118222-Incineration RequiredI S C r ignature Received By to <br /> 29 Other-Describe in narrative. <br />