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SAN JOAQIN COUNTY Date <br /> E IRONMENTAL HEALTH DEPARTMER PR /7® <br /> :{ 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName 1(3vtv,Pc") Tflivta ilityAddress 9 L , LeA -+- <br /> FacilityContact Tit -,�_ Phone#4f`I -f> Y <br /> INSPECTION TYPE: Moultine, []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 �. <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall P I t 9 02=C--I1 ca . <br /> generate medical waste unless registered with the ^� <br /> enforcement agency. l <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 <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> fai <br /> 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 a <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> wit enforcement agency. to <br /> _ 1 <br /> 12.HSC Section 117975-LQG shall keep —7 <br /> records for 3 years. <br /> Transportation <br /> 13.HSC Section 118030-LQHE application. .. <br /> Treatment/Storage JL <br /> _14.HSC Section 118135-Shall obtain a permit `� <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. Y' v <br /> _15.HSC Section 11 8766-All treatment records <br /> sh II 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 /> be destroyed or somehow prevent public access. <br /> 19.HSC Section 118275-MW red bags,path, 41 2 <br /> ch mo shall be labeled properly. <br /> O.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps labeUcontain <br /> 22.HSC Section 118295-Proper decon used. <br /> 3.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 I S $ ignature Received By Date <br /> 29 Other-Describe in narrative. <br />