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aU,,h MEDICAL WASTE INSPECTION REPORT Date: August 12,2025 �: =x San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0548844 (209)468-3420 Program 4530—Large Quantity t�FV www.smogv.org/ehd Element: Generator Observations and Corrective Actions: 13. HSC 117975 - LQG shall maintain treatment and tracking documents for 2 years. OBSERVATIONS: 1. During inspection, review of the tracking and treatment documents was requested. No tracking and treatment documents were able to be provided during the inspection. CORRECTIVE ACTIONS: 1. Please provide tracking and treatment documents for medical waste for the past 2 years for LEA review. 24. HSC 118275(a)(3) and (4)—(3) Sharps waste, including sharps and pharmaceutical waste containerized pursuant to paragraph (7)shall be contained in a USFDA approved sharps container that meets USDFA labeling requirements and is handles pursuant to section 118285. (4)Trace chemotherapy waste, as defined in paragraph (5)of subdivision (b) of Section 117690, shall be segregated for storage, and, when placed in a secondary container, that container shall be labeled with the words "Chemotherapy Waste," "CHEMO," or other label approved by the department on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the biohazardous waste pursuant to Section 118222. OBSERVATIONS: 1. Mixed waste was observed within sharp containers. 2. Chemotherapy waste container in designated accumulation area had labels that were peeling and illegible. CORRECTIVE ACTIONS: 1. Provide training to all necessary employees to assure the proper segregation of medical waste from all other waste. Provide proof of training to EHD. 2. Provide adequate labels to chemotherapy waste container in designated accumulation area. 25. HSC 118280(c)— Biohazard waste shall be bagged in accordance with subdivision (b) of section 118275. Containers shall be leak resistant, have tight-fitting covers, and be kept clean and in good repair. Containers may be of any color and shall be labeled with the word "BIOHAZARD"or"Biohazardous Waste" on the lid and sides to be visible from any lateral direction. Containers shall comply with United States Department of Transportation requirements when prepared for transport offsite from the facility. OBSERVATIONS: 1. At the designated accumulation area, the red biohazard container did not have any biohazard labels. 2. Medium sized containers with spin top lids were open. Per operator, lid has a seal that will permanently close the container if lid is closed all the way. CORRECTIVE ACTIONS: 1. Please provide the proper biohazard labels to the lid and all sides of the container to comply with section HSC 118280. Provide proof of correction to EHD. 2. Please provide containers that have tight fitting covers to mitigate safety risk. Provide proof of correction to EHD. 30. HSC 118310—A designated accumulation area used for the storage of medical waste containers prior to transportation or treatment shall be secured so as to deny access to unauthorized persons and shall be marked with warning signs on or adjacent to, the exterior of entry doors, gates, or receptacle lids. The wording of warning signs shall be in English, "CAUTION— BIOHAZARDOUS WASTE STORAGE AREA—UNAUTHORIZED PERSONS KEEP OUT," and in Spanish, "CUIDADO—ZONA Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 2 of 3 E H-7/1/25