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PQUrN SAN JOAQUIN COUNTY Date 10/a 110 <br /> ENVIRONMENTAL TH DEPARTMENT PR OSS <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> �1c,F"Qg `P MEDICAL WASTE INSPECTION FORM <br /> cili a e Acncc,x'pu.c> I`t cX(Al Qts _ cili rens Liao S. Fre-sno Ave. <br /> cili Contact Re�inSor -TitleAaHn. S 140e v3shr Phone# 1'4'U--0630 <br /> INSPECTION ® tie ElComplaint ❑ e®i s e c t i n <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 \ ` L —_--1 <br /> medical waste. CS' 1 S Jl �S if t, ll'114 <br /> _2.HSC Section 117903-Permit from the U` <br /> enforcement agency required to treat medical Qr <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall L <br /> generate medical waste unless registered with the X1MizA <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. 1 (' , 1 <br /> _5.HSC Section 117900-Shall not haul med j S Ob ;cw� �1 [�7 C 9A'cal 1A C451C. <br /> waste unless registered or obtained LQHE. , <br /> _6.HSC Section 117903-Shall not treat med ®n �t a <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement r k t S e r <br /> agency. <br /> Procedures +,ry s u I'Snd 01A I&Mu <br /> _8.HSC Section 117935-SQG MWMP �7C <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. Aq— MeXCA rrt5 ii11'-)CMZ <br /> 11.HSC Section 117960-LQG shall file MWMP �kr <br /> with enforcement agency. Q W c <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. 61 <br /> Transportation l ° <br /> _13.HSC Section 118030-LQHE application. t <br /> Treatment/Storage v� fe rr,u�,� - (ALM 1�w°�� �� <br /> _14.HSC Section 118135-Shall obtain a permit 'j Sa f(1 C°`).�, <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 <br /> shall be treated pursuant to this section. <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 <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. <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> 28.HSC Section 118222-Incineration Required Inspedthir Signature Received 13y Date <br /> 29 Other-Describe in narrative. <br /> PA(I a. <br />