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• SAN JOAQUIN COUNTY Date S-_46- lz-/ <br /> ENVIRONMENTAL HEALTH DEPARTMEP PR a!y- _7"7of.,;? <br /> ti 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> �gcaFORr'`P MEDICAL WASTE INSPECTION FORM <br /> FacilityName_-Dt✓to,ex.,hQi,� 4m,{zi, FacilityAddress fi&!Ar - A-v?,- :j4E W <br /> FacilityContact f . Title 6t1S Phone# <br /> INSPECTION TYPE: "tine ❑Complaint ❑Re-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 /> Generator 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. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. �- <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage L, <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures ;Ott I - <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> —52 19 <br /> records for 3 years. I <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LQG shall file MWMP ^�- <br /> with enforcement agency. l v�l/` <br /> _1 Section 117975 LQG shall keep ^�,,,,, <br /> recordsdsfor for 3 years. `t` TILS <br /> Transportation �,tmoo 6,,1-a—) -4,,,� � `fin t ,� <br /> _13.HSC Section 118030-LQHE application. <br /> TreatmentlStorage Sol lln � <br /> _14.HSC Section 118135-Shall obtain a permit, <br /> from the enforcement agency to treat medical ®� <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> sh II be kept for 3 years. 1G-� <br /> Z6.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human cl- TO -) S � <br /> anatomical parts shall be disposed of by interment r <br /> unless otherwise hazardous. ICS" I !l.i <br /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. 119-t115 <br /> _19.HSC Section 118275-MW red bags,path, rev _ <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps Iabel1contain r <br /> _22.HSC Section 118295-Proper decon used. t^1 ri��Zt L)f:�1 c tjz,-,, rem � -6ry m +�1rJ pYL <br /> _23.HSC Section 118307-Interim storage labeled \ <br /> _24.HSC Section 118310-Enclosure labeled. LIa, o:�c r�.-yf 5. �2(�13 '� �iYl►�CIv'l�1 �f1 �Zl�IN &OL') )_ <br /> _25.HSC Section 118305-Cannot reuse drums L4 <br /> 26.HSC Section 117630-Approved biohazard <br /> 3 <br /> bag used. 0 3/ 4/,2 &, l <br /> 27.HSC Section 118275(8)-Pharm label/store y" <br /> _28.HSC Section 118222-Incineration Required In p to Si nature Received Date <br /> 29 Other-Describe in narrative. <br />