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.W6 <br />SAN JOAQUIN COUNTY <br />E RONMENTAL HEALTH DEPARTM f <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date 7 -30 - I <br />PR !!yj-"xo!L <br />FacilityNameQamty, 1 6Ai,6.,l FacilityAddress�SS 0 <br />FacilityContact I -M vn a y �Title I Phone# .2�i -w,i 3/ 63 <br />INSPECTION TYPE: 1911outine []Complaint ❑Re -inspection <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <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 />`s- A <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />A <br />✓ v <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 />1S ,___. <br />U '� <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />SVt ���� L M 6—AIV,, eM QLD <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />_8.HSC Section 117935-SQG MWMP <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. <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />AA <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />`f ` <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />f t <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 />tX kLl <br />07 a9EX4t <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human <br />f'lYv WIG �t Ca SCA - <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />_18.HSC Section 118225 -Treated sharps shall <br />&b destroyed or somehow prevent public access. <br />19.HSC Section 118275 -MW red bags, path, <br />shall be labeled properly. <br />Zto <br />0.HSC Section 118280 -MW label & contain1.HSC <br />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.�p/� <br />_27.HSC Section 118275(8) Pharm label/store'0�� <br />_28.HSC Section 118222 -Incineration Required4peor' <br />29 Other -Describe in narrative. <br />ture eceived By Date <br />