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MEDICAL WASTE INSPECTION REPORT <br /> Date: November 15,2023 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: PR0536207 <br /> (209)468-3420 Program <br /> c--10FOR www.siogv.org/ehd Element: 4530 <br /> Facility Name Address City Zip Code <br /> Stockton Hematology Oncology Medical Group 2626 N California St Stockton 95204 <br /> Facility Contact Title Phone Number Email Inspection Type <br /> Sheila Sexton-Desersa Office Manger 209-466-2626 Routine <br /> The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). <br /> Registration Treatment <br /> ❑ 1 HSC 117890-No LQG shall generate medical waste unless ❑ 17 HSC 118130-All onsite medical waste treatment facilities shall <br /> registered with the EA. be permitted by the EA. <br /> ❑ 2 HSC 117950-LQG shall register with the EA prior to <br /> generating medical waste. ❑ 18. HSC 118165 All treatment records shall be kept for 3 years. <br /> HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall r <br /> ❑ 3. q p g El 1 g a be treated pursuant to <br /> medical waste. this section. <br /> HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be <br /> ❑ 4' register with the EA. ❑ 20. disposed of by interment, incineration,or an approved <br /> alternative. <br /> HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo <br /> ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated <br /> under the MOT exemption. by incineration or an approved alternative. <br /> ❑ <br /> HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this 6' issured by the EA. ❑ 22' section. <br /> ❑ 7 HSC 117890-LQG shall notify EA 72 hours prior to Containment/Storage <br /> participating in temporary event. <br /> ❑ <br /> HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth 8' participating in temporary event. ❑ 23. in this section. <br /> HSC 118275-Medical, biohazardous,sharps,trace chemo, <br /> Records/Documentation ® 24 pathology,or pharmaceutical waste shall be segregated and <br /> contained pursuant to this section. The container shall be <br /> properly labeled. <br /> ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25 HSC 118280- Biohazard bags shall be containerized and <br /> stored pursuant to this section. <br /> HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored <br /> El 10. treatment and tracking records for 3 years. ® 26' pursuant to this section. <br /> HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated <br /> El 11. 27 information document and LISPS records for 3 years. ❑ " pursuant to this section. <br /> ® 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical <br /> waste shall not be used for other storage. <br /> HSC 117975-LQG shall maintain treatment and tracking HSC 118307- Intermediate storage area shall be secured and <br /> ® 13. documents for 2 years. El 29. marked with proper signage. <br /> Transportation ❑ 30. HSC 118310-Designated accumulation area shall be secured <br /> and marked with proper signage. <br /> ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other <br /> ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. <br /> ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. <br /> Received by: Print: Sheila Sexton-Desersa Signature: EMAILED Phone:209-466-2626 <br /> Specialist: Print: Sandip Singh Signature: (� �,� Phone:209-468-3526 <br /> Reinspecion on/about: A reinspection fee of$162 per hour may be charged. Page 1 of 3 <br /> EH-2i2023 + , <br />