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[7 <br />0 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date <br />PR t7531g t'7� <br />FacilityName <br />5qLqu <br />`k-A)r� <br />FacilityAddress TOR <br />LoAAE SA-, <br />FacilityContact1r� <br />medical waste. <br />2. HSC Section 117903 -Permit from the <br />, S n <br />Title W'' i l d%r%r- <br />e -r Phone# �eo1)34 - Ai 1®1 <br />INSPECTION TYPE: tZRoutine oComplaint olke-inspection <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. NSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the generation of <br />medical waste. <br />2. HSC Section 117903 -Permit from the <br />t , �� i� 1 �S 1 <br />e—nforcement agency required to treat medical <br />waste. <br />_3. NSC Section 117890 -No large LQG shall <br />n+• <br />MAO-- ®-:16 ; CAI IA1 A,J -- 1 �/) LA(\ &J6 1, <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 />1l1) J'1 U'b ibf Cut t L\,j - <br />5. HSC Section 117900 -Shall not haul med <br />waste unless registeredobtained LQHE. <br />Section 117903 -Shall not treat med <br />a . C ee CSa l T <br />_6.HSC <br />waste without permit from enforcement agency. <br />g)$ <br />_7.HSC Section 117908 -Common Storage <br />y <br />t3® n®2` 5 ► �.1,1 -�� fYlpr�i tial �lVtiS9C. <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />e <br />SIA. <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 />D'l kI 1L In f,s , <br />with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />CJ 3 (� ( 1 : CA <br />Transportation <br />i , <br />_13. HSC Section 118030-LQHE application. <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. <br />_16.HSC Section 11 8215 -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, <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 />q <br />.( <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 <br />Insp for Signature Recei ec y Date <br />Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />