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MEDICAL WASOINSPECTION REPORT • Date: y Gyp San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: PROS36)-sL c (209)468-3420 Program 1,I www.siogv.om/ehd Element: _`5 3O Facility Name Address City Zip Code St.Josephs Immediate Care Center 1801 e.march In.#470d Stockton 95210 Facility Contact Title Phone Number Email Inspection Type John Kendle Senior Director of Operation (209)467-6471 Routine The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). 6 x�@ISt� M� C - , HSC 117890-No LQG shall generate medical waste unless El HSC 118130-All onsite medical waste treatment facilities shall El 1' registered with the EA. 17' be permitted by the EA. ❑ HSC 117950-LQG shall register with the EA prior to 2' ❑ 18. HSC 118165 All treatment records shall be kept for 3 years. generating medical waste. HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to ❑ 3' medical waste. El 19' this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4' register with the EA. ❑ 20. disposed of by interment,incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this [j 6' issured by the EA. E] 22' section. HSC 117890-LQG shall notify EA 72 hoursrior to ❑ 7' participating in temporary event. . t. P ;" n 1�1'O'1a8tlitiL , �t Eke ...€« ."�4. '� YPx u ,x.'�.„�,.,.'ew N. 10, HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth El 8' participating in temporary event. E] 23' in this section. aw HSC 118275-Medical,biohazardous,sharps,trace chemo, t � 5h � # +4R„�@�I CntiQ rl S/ Cll elltaim ty iOft �;�� w pathology,or pharmaceutical waste shall be segregated andEl 24. contained pursuant to this section. The container shall be properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored El 10. 26 treatment and shipping and tracking records for 3 years. ❑ ' pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated ❑ 11. 27 information document and transportation records for 3 years. ❑ ' pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical [j 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28. waste shall not be used for other storage. HSC 117975-LQG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and ❑ 13. tracking documents for 2 years. El 29' marked with proper signage. HSC 118310-Designated accumulation area shall be secured Ta11$lOatlO k nl ❑ 30. and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. ig (j ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: John Kendle Signature: mU ti�r� Phone: (209)467-6471 Specialist: Print: Benjamin Escotto,Sr REHS Signature: - Phone: 209 468-3178 Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 EH-08/2015