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oPq......o SAN JOAQUIN COUNTY Date o2�J~-ll <br /> ENVIRONMENTAL HEALTH DEPARTME PR 63&1'7 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> `P MEDICAL WASTE INSPECTION FORM <br /> FacilityName v1V%PA i Address 1 , _yt ��- <br /> FacilityContac �n Wz,,A,iv,s Title M V1.--RPhone#Q _ 477 a,m6 <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 a-j ow <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall Nlvv <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. <br /> _6.HSC Section 117903-Shall not treat med t <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> Ta cility 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 /> Zre ister 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. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage ,` v <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. V <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 118215-All medical waste <br /> J47-1,1- <br /> shall be treated pursuant to this section. <br /> _17.1-11SC 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 /> be destroyed or somehow prevent public access. <br /> 19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. hz2i-ALe' U2 <br /> - ^ HSC Section 118280-MW label&contain <br /> _ 1.HSC Section 118285-Sharps label/contain _ <br /> 22.11-11SC Section 118295-Proper decon used. <br /> 23.HSC Section 118307-Interim storage labeled s <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(8)-Pharm label/store Q <br /> _28.HSC Section 118222-Incineration Required ` Signature Received By Date <br /> _29 Other-Describe in narrative. <br />