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I �. - Date a 06- <br /> Record IDCb60-003j <br /> Prog Elem <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name � )!S jjP,-z (4jo Facility Address (o <br /> Facility Contact nhamA>0, 1 Title n Phone# qq 77o2 <br /> INSPECTION TYPE: Voutine Complaint ❑Reinspection <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 <br /> of 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 �,r1 t P��I rrl _t ,�_I�P_t a /)— C-rte. rC'�ryi rt(S i – <br /> generate medical waste unless registered with <br /> the enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med c-Lj' <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med ` Z( . <br /> waste unless registered or obtained LQHE. <br /> - 6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. �D z <br /> Facility <br /> Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> _B.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 /> _M11.HSC Section 11 7960-LOG shall rile <br /> WMP with enforcement agency. <br /> ln�l��JLQ LA- <br /> -1 Section 117975-LQG shall keep <br /> records for 3 years. _ <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage , <br /> _14.HSC Section 118135-Shall obtain a e <br /> permit from the enforcement agency to treat <br /> medical waste prior to treatina the waste. <br /> _15.HSC Section 118765-All treatment <br /> records shall be kept for 3 years. <br /> 6-HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable <br /> human anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> 19-HSC Section 118275-MW red bags,path, <br /> chVho 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 decor used. <br /> 23.HSC Section 118310-Endosure labeled. <br /> _24.HSC Section 118305-Cannot reuse drums <br /> _25ASC Section 117630-Approved biohazard <br /> bag used. - <br /> 26.Other-Describe in narrative. <br /> Inspecto Signature ReceiveVBy <br />