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Environmental Health Division <br /> San ,,,Joaquin County <br /> Public Health setvides <br /> P, a 4ox, 2009" Stockton' Ca 95201 <br /> ^^ INFECTIOUS MASTS INSPECTION FORM <br /> COMPUTER NO. <br /> PERMIT NO. <br /> nspec-- a e <br /> PERMITS.& PROCEDURES <br /> StR. OPER. 1 r <br /> Premise Address R1 111k Date <br /> _ 1. PERMIT TO OPERATOR 0k_ IAI <br /> 2. PROCEDURES&POLICY THE ITEMS BELOW REPRE ENT CODE VIOLATIONS A D MUST BE CORRECTED: <br /> (up to date,on tile,with N.D.) <br /> 3. INFECTIOUS WASTE IDENTIFIED Q <br /> 9 <br /> 4.PROVIDE COPY MATERIAL DATA SHEET6) , ar tq <br /> a <br /> _ 5.IDENTIFY HANDLING FROM{) <br /> GENERATION TO DISPOSAL � 1 C9 '` Z�C J _ Inc)I <br /> _ 6 DISINFECTING &CLEAN-UP IDENTIFIECOI ' f ` C <br /> g c. <br /> _ 7.AIR POLLUTION INCINERATION PERMIT ! <br /> ON FILE <br /> p` �'� <br /> ANNUAL CALIBRATION CHECK <br /> FOR STERILIZER <br /> 9. BAG STRENGTH ON FILE <br /> (165-gram strength) 3 —i <br /> STORAGE/CONTAINERS ` <br /> 10. PROTECTION FROM INSECTS/RODENTi) v <br /> WIND, RAIN,&ANIMALS g� <br /> 1t. SEGREGATED AT POINT OF ORIGIN dA` <br /> 12. SEPARATE FROM OTHER WASTES <br /> 13. CONTAINERS IN LOCKED AREA REQUIRED <br /> 14. WARNING SIGN IN ENGLISH&t))L.. <br /> SPANISH/VISABLE <br /> 15.ON SITE STORAGE TIME 0 ,•.m <br /> 16. LEAKPROOF. PUNCTURE-RESISTANT / <br /> CONTAINERS& BAGS d <br /> 17. BAGS LABELED INFECTIOUS J� <br /> WASTE/BIO-HAZARD <br /> _ 18. TIGHTLY LIDDED CONTAINERS L <br /> py <br /> jam.. <br /> 19. CONTAINERS LABELED•BOTH SIDES&TOP <br /> 20 CONTAINER WASH AREA PROPERLY, <br /> DRAINED WITH HOT WATER / <br /> TREATMENT/DISPOSAL <br /> 21. REGISTERED HAZARDOUS 6 <br /> WASTE HAULER <br /> 22. INCINERATION <br /> T 1l "-" 23. HEAT STERILIZATION <br /> 24. DRAIN TO A SANITARY SEWER LINE ALL REINSPECTIONS WILL BE BILLED AT THE RATE OF <br /> 25, REUSABLE CONTAIt3ERS CLEANED EACH $7 8 0 <br /> TIME THEY ARE EMPTIED&PROPERLY r �— <br /> SANITIZED <br /> 26. LEAKPROOF DUMPSTER ON SITEAe AAIA RECEIVED BY <br /> EH W 01 <br />