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SAN JOAQUIN COUNTYDate --I t <br />ENVIRONMENTAL HEALTH DEPARTME T PR <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />• . J 1 a. J► �� ' • <br />[]Complaint []Re -inspection <br />VIOLATION(S) <br />Registration <br />_ 1. HSC Section 117955 -Large Quantity <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />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 />HSC Section 117900 -Shall not haul med <br />- ��t(��-- Ij <br />_5. <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />i✓Ytl�� <br />waste without permit from enforcement agency. <br />THSC Section 117908 -Common Storage <br />'� <br />fac_ility shall be registered with local enforcement <br />All <br />agency. <br />Procedures <br />3 <br />Section 117935-SQG MWMP <br />_8.HSC <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 />M � S YI ®�_ <br />11.HSC Section 117960-LQG shall file MWMP <br />�I <br />enforcement agency. <br />I• ec Q C I CC -14C2 �� tea`--� <br />-4wit <br />12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />'1 �-mcg» bc' Er L <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />- �re� -�-� rvt �z� -p <br />Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />From <br />o:aste orior to treating the waste. <br />��, ^� a yt�• a VCA , c l� o/i�l c a�i1 zaY3 <br />WU Yi 3kU i i Q � 2 r =Ca_ /S. <br />,j& <br />4 15.HSC Section 118765 -Ail treatment records <br />snali be kept for 3 years. <br />_16.HSC Section 11821 5 -All medical waste <br />I_ k JE L2 <br />�•t <br />shall be treated pursuant to this section. <br />_17.HSC Section 11 8220 -Recognizable human <br />anatomical parts shall be disposed of by interment <br />, t 1 <br />t, rYtr "j f y}•1�-a -{ �,yr 4 )1 7yi. ! <br />q <br />unless otherwise hazardous. <br />Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />-be—destroyed <br />_19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />Section 118280 -MW label & contain <br />_X20.HSC <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 />Section 118310 -Enclosure labeled. <br />_24.HSC <br />Section 118305 -Cannot reuse drums <br />_25.HSC <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />27.HSC Section 118275(g)-Pharm label/store <br />�28.HSC Section 118222 -Incineration Required <br />i � d t <br />AkeWr Signature Received By Date <br />29 Other -Describe in narrative. <br />kpZ- t"' - `i <br />