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0 <br />-- SAN JOAQUIN COUNTY 0.0 Date t 13 h <br />ENVIRONMENTAL HEALTH DEPARTMENT PRb�\ 000' <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />-acilityName ���OIN . "Otkct� FacilityAddress 5)5 Vj. kcsclick,, SiOtldwo <br />• a► <br />Q_al 3 <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />' M. <br />medical waste. <br />_2. HSC Section 117903 -Permit from the <br />agency required to treat medical <br />t <br />-Vjosh ue-M(A AullU Qo <br />enforcement <br />e,, T tj <br />waste.w <br />_3. HSC Section 117890 -No large LQG shall <br />® t p ` ` ° }�i <br />�tino <br />generate medical waste unless registered with the <br />� `Q&S is ' ell db&ed carlukd <br />enforcement agency. <br />_4. HSC Section 117895-SQG that treats med <br />_ <br />Ron <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med <br />waste unless registered or obtained LQHE. <br />�U 1 <br />_6.HSC Section 117903 -Shall not treat med <br />V1 Gc, ('P �ilw►i Cq t4 tT e_ 11C . gG(11 �l�t S <br />waste without permit from enforcement agency. <br />f^• ®n L7nc, he, %L(,&LOSS.- <br />OSSfacility <br />Section 117908 -Common Storage <br />0k _'6S <br />_7.HSC <br />facilityshall be registered with local enforcement <br />S \ i akul gL <br />agency. <br />Procedures <br />s <br />B.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />l 11'19 GO �. - Pin WAS <br />At w �Gl <br />Do f� ti+ c�aAQ.t llet\� <br />_10.HSC Section 117945-SQG not required to <br />ll 1�_ <br />register shall keep records for 2 years. <br />'�t�,D rs\4 d i b <br />t <br />1�Kdltrfttttlti�T etafi (111At fU1 <br />$,11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />SFC VmK!, St •ni <br />_12.HSC Section 117975-LQG shall keep <br />o , bn• Uce <br />records for 3 years. <br />Transportation <br />` 1_ <br />1 Alan 5 s,� S q�P.mr.nk �uin1 <br />u ^�b"ML,0A D -VI c UjC0011, 0,&A <br />_13. HSC Section 118030-LQHE application., <br />Treatment/Storage <br />tt'' <br />_14.HSC Section 118135 -Shall obtain a permit <br />C�LLUI Jq t l /! U i CGJr(An- ' . W <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 />f�, r✓ t,(pCC�i (�'t `1 <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human <br />, -t L L <br />anatomical parts shall be disposed of by intermentr� <br />\_ L <br />unless otherwise hazardous. <br />m& T �`- f 1owmina <br />18.HSC Section 118225 -Treated sharps shall <br />be_destroyed or somehow prevent public access. <br />9t <br />_19.HSC Section 118275 -MW red bags, path, <br />hemo 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 />r a j <br />28.HSC Section 118222 -Incineration Required <br />�29 <br />Insp for Signature CelVed By to <br />Other -Describe in narrative. <br />