Laserfiche WebLink
�apaU�N o SAN JOAQUIN COUNTY Date/o-,2a-j3 <br /> EPIRONMENTAL HEALTH DEPARTME r PR 5-3( in <br /> { 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> • P• <br /> �L�FORa` MEDICAL WASTE INSPECTION FORM <br /> FacilityName(1;y o FacilityAddress 75-1 Kc� - <br /> FacilityContact Title EN ? c_ Phone#aL/G-,2ag6_ <br /> INSPECTION TYPE: 64Routine ❑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 LOG shall <br /> generate medical waste unless registered with the _f �� S <br /> enforcement agency. (,) n) ��- <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 of 0 <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 77,zh <br /> facility shall be registered with local enforcement r <br /> agency. ��� 1/1�,����7 r r✓\ GJ t� f/ I1�L �� � �.�.P. i'_C <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. o <br /> _10.HSC Section 117945-SQG not required to c�OC LTA"� l <br /> register shall keep records for 2 years. — �,1-2 h Q 7-/A' ��7 �-�1i i �( -1—' p� <br /> 11.HSC Section 117960-LQG shall file MWMP r� <br /> with enforcement agency. J`P W UZf-r��) c-A/\_ C�_ <br /> —12.HSC 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 77 mo3 0 - -s, 11jk S <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> —15.HSC Section 11 8765-All treatment records WLV <br /> shall be kept for 3 years. w <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. / � <br /> _17.HSC Section 118220-Recognizable human ) Y7� ( yr.A l 1'i /AAn f <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. -AAn 3j=4 WV r)-V7 .1 ZJiA )T—Lb's <br /> 18.HSC Section 118225-Treated sharps shall <br /> be_destroyed or somehow prevent public access. ►'� D ��` <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 /> _25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard <br /> bag used. �b 12 13 <br /> _27.HSC Section 118275(g)-Pharm label/store - <br /> _28.HSC Section 118222-Incineration Required p Or Signature eceiv By Date <br /> 29 Other-Describe in narrative. <br />