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S A N J O A Q U I N Environmental Health Department <br /> - C:JUNiY <br /> Medical Waste Inspection Report <br /> Fac I ty Name: Date: <br /> 3UTTERGOULD October23 2024 <br /> Fac Ity Address: Facility Phone: Program Record: <br /> 2505 W HAMMER LN, STOCKTON, CA 95209 (209)524-1211 PRO526860 <br /> I ispection Contact: Title: Phone: <br /> Dwain Bachmann TEnvironmental Services Supervisor (209)606-7313 <br /> Inspection Type: Program: <br /> Roi:ine 1 4520-PRIMARY CARE FACILITY <br /> OUT=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Medical Waste <br /> Registration <br /> 1 CA Health and Saf=_ty HSC 117890-No LQG shall generate medical waste unless registered with the EA ❑OUT ❑COS ❑R <br /> Code 117890 <br /> 2 CA Health and Saf=_ty HSC 117950-LQG shall register with the EA prior to generating medical waste ❑OUT ❑COS ❑R <br /> Code 117950 <br /> 3 CA Health and Safety HSC 117903-Permit from the EA is required prior to treating medical waste ❑OUT ❑COS ❑R <br /> Code 117903 <br /> 4 CA Health and Safety HSC 117925-SQG that treats medical waste onsite shall register with the EA o OUT ❑COS ❑R <br /> Code 117925 <br /> 5 CA Health and Safety HSC 117900-Shall not haul MW unless registered,common carrier,trauma scene practitioner,or ❑OUT ❑COS ❑R <br /> Code 117900 exempt under MOT <br /> 6 CA Health and Safety HSC 117928-Common Storage Facility shall have permit issued by the EA ❑OUT ❑COS ❑R <br /> Code 117928 <br /> 7 CA Health and Safety HSC 117890-LQG shall notify EA 72 hours prior to participating in temporary event o OUT ❑COS ❑R <br /> Code117890 <br /> 8 CA Health and Safety HSC 117895-SQG shall notify EA 72 hours prior to participating in temporary event ❑OUT ❑COS ❑R <br /> Code117895 <br /> Records/Documentation <br /> 9 CA Health and Safety HSC 117935-Registered SQG shall file MWMP with the EA ❑OUT ❑COS ❑R <br /> Code 117935 <br /> 10 CA Health and Safety HSC 117943-SQG required to register shall maintain treatment and shipping and tracking o OUT ❑COS ❑R <br /> Code 117943 records for 3 years <br /> 11 CA Health and Sataty HSC 117945-SQG not required to register shall maintain information document and ❑OUT ❑COS ❑R <br /> Code 117945 transportation records for 3 y <br /> 12 CA Health and Safety HSC 117960-LQG shall file MWMP with the EA o OUT o COS o R <br /> Code117960 <br /> 13 1 CA Health and Safety HSC 117975-LQG shall maintain treatment and shipping and tracking documents for 2 years ■OUT ❑COS ❑R <br /> Code 117975 <br /> Transportation <br /> 14 CA Health and Satet� HSC 117946-MOT exemption requirements for SQG ❑OUT ❑COS ❑R <br /> Code117946 <br /> 15 CA Health and Sate4 HSC 117976-MOT exemption requirements for LQG ❑OUT o COS ❑R <br /> Code117976 <br /> 1 E CA Health and Sa*4 HSC 118032-Pharmaceutical waste hauling exemption ❑OUT ❑COS ❑R <br /> Code 118032 <br /> Treatment <br /> 17 CA Health and Sa eta HSC 118130-All onsite medical waste treatment facilities shall be permitted by the EA ❑OUT ❑COS o R <br /> Code118130 <br /> FA0018191 PRO526860 SCO01 10/23/2024 <br /> EHD P.ev.04/07/2022 Page 1 of 4 Medical Waste OR <br /> 1868 E Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />