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MEDICAL WASTEOSPECTIOR' REPORT • Date: (® San Joaquin County Environmental Aealth Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: (209)468-3420 Program U S 30 ce ipDR�`p www.slogv.org/ehd s'o'".mer IwSOM to P^V,FA•COr^ Element: Facility Name Address City Zip Code Yosemite St Dialysis 1650 w.yosemite avenue Manteca 95337 Facility Contact Title Phone Number Email Inspection Type Sommer Wilson Assistant Facility 209-825-3905 Routine Administrator The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment ❑ 1 HSC 117890-No LOG shall generate medical waste unless ❑ 1771 HSC 118130-All onsite medical waste treatment facilities shall registered with the EA. be permitted by the EA. HSC 117950-LOG shall register with the EA prior to ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. ❑ 2. generating medical waste. ❑ 3 HSC 117903-Permit from the EA is required prior to treating ❑ 19 HSC 118215-All medical waste shall be treated pursuant to medical waste. 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 re 9 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 ❑ 22 HSC 118225-Sharps waste shall be treated pursuant to this ❑ 6' issured by the EA. section. ❑ 7 HSC 117890-LOG shall notify EA 72 hours prior to Containment/Storage participating in temporary event. HSC 117895-SQG shall notify EA 72 hours prior to ❑ 23 HSC 117630-Biohazard bag shall meet the standards set forth El 8' participatigR in temporary event. in this section. HSC 118275-Medical,biohazardous,sharps,trace chemo, Records/Documentation ❑ 24 pathology,or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. HSC 118280- Biohazard bags shall be containerized and ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. F125. stored pursuant to this section. HSC 117943-SQG required to register shall maintain 26 HSC 118285-Sharps waste shall be containerized and stored ❑ 10 . treatment and shipping and tracking records for 3 years. ❑ pursuant to this section. ❑ 11. 1 HSC 117945-SQG not required to register shall maintain ❑ 27 HSC 118295-Containers shall be washed and decontaminated information document and transportation records for 3 years. pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical ❑ 12. HSC 117960-LQG shall file MWMP with the EA. E] 28. waste shall not be used for other storage. El 13. HSC 117975-LOG shall maintain treatment and shipping and El 29 HSC 118307- Intermediate storage area shall be secured and tracking documents for 2 years. marked with proper signage. ❑ 30. HSC 118310-Designated accumulation area shall be secured Transportation and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other ❑ 15. HSC 117976-MOT exemption requirements for LOG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: Sommer Wilson Signature: Phone:209-825-3905 Specialist: Print: J.Easter Si �ature Phone: 209-953-7310 Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 EH-11/17