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SAN JOAUIN LOCAL. HEA &DISTRICT <br /> 1601 E. HAZELTON AVENUE, P. 0. 2009 <br /> STOCKTON, CA 95201 PHONE: (209) 468-3420 <br /> INFECTIOUS WASTE INSPECTION FORM <br /> COMPUTER NO. <br /> PERMIT NO. <br /> Inspection UatG <br /> PERMITS.& PROCEDURES � a� �0.nw\�+ � �"� `� & c) <br /> STR. OPER. Premise Address t Rect+ack ate <br /> 1. PERMIT TO OPERATOR 111 vt v��t c l� I (�G �®d 1 / <br /> 2. PROCEDURES&POLICY THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> (up to date,on file,with H.D,) <br /> _ 3. INFECTIOUS WASTE IDENTIFIED <br /> 4.PROVIDE COPY MATERIAL DATA SHEET " <br /> VVA L3 CA 6 1215e <br /> 5,IDENTIFY HANDLING FROM <br /> GENERATION TO DISPOSAL �, 1 Z Q `� p rope c}v �— &0 <br /> `! v 6. DISINFECTING&CLEAN-UP IDENTIFIED <br /> 7.AIR POLLUTION INCINERATION PERMIT C v\r i "`� t ®� S L'u G S <br /> ON FILE <br /> e C.O r+-s{ acs <br /> 8,ANNUAL CALIBRATION CHECK <br /> FOR STERILIZER <br /> 9.BAG STRENGTH ON FILE {y V (7 G IQ O-j lC 4 Ci, <br /> (165.gram.strength) <br /> U �' CA- w <br /> STORAGEICONTAINER$ / p <br /> "\�e� v °f I�E't•-1�� � ®'T w�nctT tS <br /> 10. PROTECTION FROM INSECTS/RODENTS, ` <br /> WIND, RAIN,&ANIMALS C®u t c��I-P6 -I VC Ce C u 0.S ` �✓L^0 � <br /> 11. SEGREGATED AT POINT OF ORIGIN ' • 1 <br /> 12: SEPARATE FROM OTHER WASTES0 6_Q (A <br /> 13. CONTAINERS IN LOCKED AREA REQUIRED <br /> -- - GL.5 1 1 Vi C K ti c u'i <br /> 14.WARNING SIGN 1N ENGLISH& " V-Com. C_ . <br /> SPANISHIVISABLE <br /> _ _Y 15:ON SITE STORAGE TIME <br /> 16. LEAKPROOF. PUNCTURE-RESISTANT <br /> CONTAINERS&BAGS <br /> 17,BAGS LABELED INFECTIOUS <br /> WASTE/1310•HAZARD <br /> 18.TIGHTLY LIDDED CONTAINERS -- <br /> 19.CONTAINERS LABELED•BOTH SIDES&TOP <br /> 20 CONTAINER WASH AREA PROPERLY <br /> DRAINED WITH HOT WATER <br /> TREATMENT/DISPOSAL <br /> _ 21.REGISTERED HAZARQQUS <br /> WASTE HAULER 0 <br /> 22. INCINERATION N <br /> Y 23.NEAT STERILIZATION t A-A- 1" <br /> I, til'* m-45 <br /> 24.DRAIN TO A SANITARY SEWER LINE <br /> _ 25.REUSABLE CONTAINERS CLEANED EACH <br /> TIME THEY ARE EMPTIED&PROPERLY <br /> SANITIZED <br /> i <br /> 26.LEAKPROOF DUM,PSTER ON SITE ff SANITA A CEIVED <br /> 1 <br /> EH W 01 <br />