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u pil. SAN � , SERVICESPOST OFFICE BOX 1020 STOCKTON. CALIFORNIA 95201 1 .. May 4, 1983 Jack J. Williams, M.D. District Health Officer San Joaquin Local Health District 1601 E. Hazelton Avenue Stockton, CA 95201 Dear Doctor Williams: As provided by Section 314 of Title 17, California Adminis- trative Code, hospital infectious waste shall be disposed of in an incinerator providing complete combustion, unless other procedures have been approved by the Local Health District. As we have dis- cussed in the past, this procedure is not practical at San Joaquin General Hospital, and we therefore request your review and approv- al of the attached procedures for disposal of infectious waste. As described in the attached procedures, disposal of labora- tory microbiological waste consists of autoclaving of all contam- inated materials, followed by disposition of solid waste materials in a sanitary landfill. In addition, San Joaquin General Hospital has recently implemented new procedures for the disposal of patient - related infectious waste in conformance with the anticipated changes in state regulations. Patient -related infectious waste, as de- scribed in the attached procedures, is collected and double bagged in red plastic bags labelled "Infectious Waste." All infectious bags collected from the inpatient areas are then deposited in a separate, covered and locked "infectious waste" bin provided by the local Scavenger service. On a regular basis, the contents of the "infectious waste" bin are removed to a licensed, Class II sanitary landfill. As required, "infectious waste" bins -are appro- priately cleaned before being returned to the hospital site. Thank you in advance for your cooperation and assistance in this matter. If you have need of additional information, please feel free to contact me at your convenience. Sincerely, L Steve Ebert, Deputy Director Support Services SPE: cm Attachments