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oPa�!N, o • SAN JOAQUIN COUNTY Date 5�- l <br /> ENVIRONMENTAL HEALTH DEPARTMENI PR ,ri3E� i�P I <br /> N 2{ 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> • P• MEDICAL WASTE INSPECTION FORM <br /> q�/pOttCl <br /> FacilityName i)wL2 J- `,9- FacilityAddress 1 ��2; Pty�. <br /> FacilityContact & �a at I I"An-ru Title �. h��►� qj?-A 3� . Phone# q-JL- 25L—�— <br /> INSPECTION TYPE: )8outine []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 i Ca ^ ^'' �'� LA' <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med Alle - <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 iZ Y <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage 4 r <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. S, <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 /> with enforcement agency. i C� h e' <br /> SC years. <br /> 117975-LQG shall keep <br /> records <br /> Transportation --- � 3 <br /> X13.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 118215-All medical waste C _ e^ " <br /> shall be treated pursuant to this section. tt—�j <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 Lyl Win'/�/'J? _ �– f Fe'P rig: <br /> _21.HSC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. ' C11 CA <br /> _23.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. ,��vutW IA k1 <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> —28.HSC Section 118222-Incineration Requiredor Signature Received By Date <br /> :Z29 Other-Describe in narrative. <br />