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SAN JOAQUIN COUNTY W Date 10 1,71 is <br />ENVIRONMENTAL HEALTH DEPARTMENT PR 6TYP A <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />V 1103 10. " '' • <br />Facility a e Sa&6o <br />Latk�+4a S�"r, <br />cili Address <br />9(1q Lome S�--"__•//} <br />FacilityContact �-JrH <br />&1G -JL -6f^ <br />Title Orive4�- "s fr�k <br />N,-- Phone4aaj�a314-11)fl) <br />Registration <br />THE ITEMS BELOW <br />REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_en1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Gerator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. <br />_2. NSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />) > r ��° �� ' <br />; S S k >>� <br />�. ' ; <br />kL 1 S `� 10 <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 <br />rc"VA;C4 <br />1 rn'l Ut <br />; jJ na <br />Ill <br />e �l 9'c otu r <br />1 <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />UAn �7t j1ti1 13. <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 />a 112,19S C tvr 'W-L"t A <br />s <br />�tt, <br />jn 1, <br />_11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />nG <br />�Z� i f\ <br />Ar\wMO-U' <br />_12.1 -13C 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 <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />_15.HSC Section 11 8765 -All treatment records <br />shall be kept for 3 years. <br />16.HSC Section 118215 -All medical waste <br />sh_all be treated pursuant to this section. <br />u.rcr <br />e <br />L t <br />* 1c m1 ,, Gel <br />ca ® 4b IL4 1 �) , 58 Sk J a <br />'' �,'� MyCA <br />j t 'u,t <br />� S�LyI lci� L <br />i <br />6v\ k3 X1'1. ��'(/t m�i• �� ® lLR `y3� <br />_17.HSC Section 118220 -Recognizable human <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />`�, •� <br />VI CS - �. 1 <br />` n IA <br />GN 1 w <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 & containIr- <br />_21.HSC Section 118285 -Sharps label/contain <br />22.HSC Section 118295 -Proper decon used. <br />, <br />1 <br />_23.HSC Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />r <br />p25.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />K.27.HSC Section 118275(g)-Pharm label/store <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />lnspkbtor Signature Recel By <br />Date <br />