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a SAN JOAQUIN COUNTY 0 Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> 0 MEDICAL WASTE INSPECTION FORM <br /> FacilityName—.'Lkyio �®,j FacilityAddress7a.2- ptv4f,— Ayr- � r <br /> FacilityContact pj-, r)%-n-A fArvui�eyl Title 16L�� Phone#— -447<Y-q6q& <br /> KI <br /> INSPECTION TYPE: VRoutine []Complaint EiRe-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 /> Z�e-nerator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. <br /> —2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. 411 <br /> —3.HSC Section 117890-No large LQG shall I Z'ca il: L61 ILI: <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med ex- e- I V Amcd a I Lila-izjL <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement age <br /> THSC Section 117908-Common Stora- 6.1 le!a �'k Anr"1=22Z= iv� a=cl &4-L— <br /> facility shall be registered with local enforcement ® #-r <br /> agency. <br /> Procedures <br /> HSC Section 117935-SQG MWMP <br /> 9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. e- Ljc�t'ad <br /> 10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. 7�t flLr <br /> I I.HSC Section 11 7960-LQG shall file MWMP AA b4 <br /> ;With enforcement agency. <br /> —1 2.HSC Section 11 7975-LQG shall keep <br /> records for 3 years. <br /> Transportation 111 ot, ;-,-a a Lai ena..-,,iaE 2LLA± et= <br /> —13.HSC Section 11 8030-LQHE application. MIQJ 4 23 <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit 2S1 <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. rq e-) vvv <br /> 1 6.HSC Section 11 8765-All treatment records <br /> shall be kept for 3 years. <br /> 6.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> 117.1-11SC 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 /> bedestroyedor 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 W-4 <br /> V71- <br /> —28.HSC Section 118222-Incineration Required Moct Si nature Received By Date <br /> 29 Other-Describe in narrative. <br />