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1 <br /> oPaU!!v, c SAN JOAQUIN COUNTY Date 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR OS <br /> -� 600 East Main Street, Stockton, CA 95202 <br /> us• � <br /> (209)468-3420 <br /> c °P MEDICAL WASTE INSPECTION FORM <br /> FacilityName Ski®n '�o\tjAi, FacilityAddress al&j S _ <br /> FacilityContact e, &j Title A,CIZ 1. Phone --a <br /> INSPECTION TYPE: ❑Routine ❑Complaint ARe-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. ` 3 ' <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical S ° ' <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall (j J (`(�o t�=Cn ►Tt c�G_ ��2r t"A 1 t a.. 00.0fis IQ& <br /> generate medical waste unless registered with the 1 5 S <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 /> waste without permit from enforcement agency. ^ 1 ACV , G <br /> _7.HSC Section 117908-Common Storage P 1 <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures oI S S e <br /> d wk <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. e <br /> With <br /> Section 117960-LQG shall file MWMP 1 <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. 5 ` e <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical t q <br /> waste prior to treating the waste. w <br /> _15.HSC Section 118766-All treatment records U)� <br /> shall be kept for 3 years. <br /> _shall <br /> Section 11821 5-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human (� ° R n <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. 1 <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 /> cilemo shall be labeled properly. <br /> O.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 /> _ <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. I <br /> 27.HSC Section 118275(g)-Pharm label/store 1 <br /> —_28.HSC Section 118222-Incineration Required Inspe or Signature Received By Date <br /> 29 Other-Describe in narrative. <br />