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MEDICAL WASTE INSPECTION REPORT 2 ? Date: August 28,2024 N: San Joaquin County Environmental Health Department Program 1 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: PR0537858 (209)468-3420 ..: r Program �iFoa wwnr.sioov.oro/ehd Element: 4522 CORRECTIVE ACTIONS: 1. Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words "HIGH HEAT OR INCINERATION ONLY'on the lid and sides, so as to be visible from any lateral direction. Ensure all pharmaceutical waste containers are equipped with functioning, closeable lids. 2. Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words"HIGH HEAT OR INCINERATION ONLY' on the lid and sides, so as to be visible from any lateral direction. Ensure all pharmaceutical waste containers are properly labeled. 3. Biohazardous waste shall be placed in a biohazard bag conspicuously labeled with words"Biohazardous Waste" or "BIOHAZARD". Ensure all biohazard containers are lined with red biohazard liners prior to using for disposal. 4. Trace chemotherapy waste shall be segregated for storage, and the secondary container shall be labeled with the words "Chemotherapy Waste" or"CHEMO" on the lid and sides, so as to be visible from any lateral direction. Ensure the chemotherapy waste containers are labeled properly. 25. HSC 118280 -Biohazard bags shall be containerized and stored pursuant to this section. OBSERVATIONS: 1. Biohazardous waste is stored above 32 F onsite for over 7 days. Records indicated biohazardous waste was not treated for more than 7 days on the following dates: Chamber 1 Chamber 2 2/15/23 to 2/24/23 2/15/23 to 2/24/23 9/12/23 to 9/28/23 9/12/23 to 9/28/23 5/22/24 to 6/02/24 5/22/24 to 5/30/24 6/3/24 to 6/11/24 6/26/24 to 7/5/24 6/26/24 to 7/6124 7/5/24 to 7/25/24 7/6/24 to 7/25/24 2. Biohazardous waste containers located in Specimen Collection—Janitor Closet(see PHOTO 1), the Dialysis Clinic (see PHOTO 2), Medical and Dental Clinic—Soiled Utility Room (see PHOTO 3), and D7-HUT(see PHOTO 4)were not closed with a tight fitting lid.—Corrected on site 3.A RCRA container, located in the designated accumulation area, was stored inside of a biohazard bag with biohazard labels attached to the outside of the bag (see PHOTO 15).—Corrected on site. 4. A biohazard bag with waste observed on a rack between two biohazard containers near the autoclaves (see PHOTO 13). CORRECTIVE ACTIONS: 1. A person who generates 20 or more pounds of biohazardous waste per month shall not contain or store that waste above 32 F onsite for more than 7 days. Ensure biohazardous waste is not contained or stored for more than 7 days on site. If there is no biohazardous waste to autoclave then ensure it is documented. 2. Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight-fitting cover, and be kept clean and in good repair. Container shall be labeled with the words "Biohazardous Waste" or"BIOHAZARD"on the lid and on the sides so as to be visible from any lateral direction. Ensure the biohazardous waste containers are closed and have a tight fitting lid. 3. Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight-fitting cover, and be kept clean and in good repair. Biohazard bags must only be used for the storage of biohazardous waste. Biohazardous waste must be placed in a biohazard bag inside of a rigid container equipped with a tight fitting lid. Ensure biohazard bags are being used appropriately. 4. Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight-fitting cover, and be kept clean and in good repair. Ensure biohazardous waste is always placed in a biohazard container. 29. HSC 118307-Intermediate storage area shall be secured and marked with proper signage. OBSERVATIONS: The biohazard sign outside of the MUT-AB building was faded (see PHOTO 9). Reinspecion on/about: A reinspection fee of$172 per hour may be charged. Page 3 of 4 EH-2/2023 L -