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CXDateI o SAN JOAQUIN COUNTY Date .'-" 3-1l <br /> ENVIRONMENTAL HEALTH DEPARTMER PR 53 r5/ $i <br /> j 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> ,FoR�`P MEDICAL WASTE INSPECTION FORM <br /> FacilityName ()A,u.. FacilityAddress 7.5 n�i ►�)n ��. <br /> FacilityContact Title L% R L, tt� ap Phone# <br /> INSPECTION TYPE: iWRoutine ❑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 Al , t <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall E L I+E <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 J�,;r1 /1 )r- 1'1')t ne-e-Ai rn <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. F _t 0S ��t6441 <br /> _7.HSC Section 117908-Common Storage �l ,�( <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. C •) <br /> _11.HSc Section 117960-LQG shall file MWMP ` <br /> with enforcement agency. �� "� c 3 V� VVI c'_,,I ' t <br /> _12.HSC Section 117975-LQG shall keep I all L <br /> records for 3 years. <br /> Transportation <br /> X13.HSC Section 118030-LQHE application. <br /> Treatment/Storage � r►<ivh CIL ���m I,r�{n�nnrh»u <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 /> _ <br /> shall 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 /I <br /> be destroyed or somehow prevent public access. `f� 3Y1 Yr(iPY!?t°r1 <br /> _19.HSC Section 118275-MW red bags, path, <br /> chemo shall be labeled properly. <br /> _X.,20.HSC Section 118280-MW label&contain - i)✓ <br /> 21.HSC Section 118285-Sharps label/contain <br /> _22.HSC Section 118295-Proper decon used. lo"-g <br /> _23.HSC Section 118307-Interim storage labeled 1- <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. �w <br /> _27.HSC Section 118275(g)-Pharm label/store 4. <br /> 28.HSC Section 118222-Incineration Required I e t r Signature Received By Date <br /> X29 Other-Describe in narrative. <br />