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®Pa ':N co 0 SAN JOAQUIN COUNTY 0 Date t 1 0 _ <br /> cENVIRONMENTAL HEALTH DEPARTMENT PR <br /> :.� 600 East Main Street, Stockton, CA 95202 <br /> (209)46$-3420 <br /> o MEDICAL WASTE INSPECTION FORM <br /> cl'i A e GN C.ufe. Qtnab_ cc4a ci i r s �10 Ec-4I ap(A AVS. ,m kGL� <br /> cili Contact ',err j -V1iiqMjj,A Title dminl'41 1' Phone#b DA) ),31- <br /> INSPECTION <br /> IRRoutine oComplaint EiRe-inspection <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 of <br /> medical waste. ' Gt ; Ei{L 0.S �r <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LOG 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. c <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. r <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement O -�,UaCf%fl 01 MiA t c.� L <br /> agency. 1 <br /> Procedures ®S\ S�k� <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. IhOu � ne <br /> _10.1-11SC Section 117945-SQG not required to ` 1 <br /> register shall keep records for 2 years. tJl l0. w mP W1LS 1 <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. 1r 11 t 1 S1 P <br /> _12.HSC Section 117975-LQG shall keep 1 <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. \ <br /> Treatment/Storage Coc��tctA tA1��Y1 + �i rY,e rr, e, d11Ve <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 11 8765-All treatment records <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment <br /> 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 /> chemo 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 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. A0 <br /> _27.HSC Section 118275(g)-Pharm label/store 0 h <br /> _28.HSC Section 118222-Incineration Required Inspedtor Signature eC batb <br /> 29 Other-Describe in narrative. <br />