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opa�►N. �, ` SAN JOAQUIN COUNTY Date 5-c '7 �f <br /> ENVIRONMENTAL HEALTH DEPARTMEP PR.5361`7� <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> q�/FORr'�P MEDICAL WASTE INSPECTION FORM <br /> FacilityNamef)�%,;\_1-r. ��. 6 N�-vr� acilityAddressJ . y1c." 1-egfr <br /> FacilityContact-'Z S TitlePhone# `f7�-31C�y <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 — - <br /> enforcement agency required to treat medical Aa=� <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the f <br /> enforcement agency. A f AZ)L� ?-,),IS <br /> _4.HSC Section 117895-SQG that treats med A In <br /> waste shall register with enforcement agency. <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 c1 <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908 Common Storage L'O Tj <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <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 <br /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. 1 <br /> _12.HSC Section 117975-LQG shall keep -72-7 —T <br /> eep .—T <br /> records for 3 years. <br /> Transportation AA,-/ C,-V;)2 - t_ <br /> _13.HSC Section 118030-LQHE application. r— <br /> Treatment/Storage <br /> _14.HSC 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. C�.,1 t� �1�.►�A O,�Ca r V&_S C T kPa')Vl Q D _ 11y11� �✓ <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. t <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. n1.�. `�� �Mzr'C �" p_ <br /> _20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps label/contain <br /> _22.HSC Section 118295-Proper decon used. Ly CrrA <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 Required p ct96tid1nature Received By ate <br /> 29 Other-Describe in narrative. <br />