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o;'Q"rN o SAN JOAQUIN COUNTY Date- 1-1 <br /> a'' E IRONMENTAL HEALTH DEPARTME PR Us-ollb <br /> y 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> FOMEDICAL WASTE INSPECTION FORM Ra <br /> FacilityName I�, ,,�-,4p,� FacilityAddress `73`i3 l&�t'�� I��.-t� _ <br /> FacilityContact ftesc Title Icjw .& ,fit Phone# aM- hi o. 6-7,9, <br /> INSPECTION TYPE: Routine []Complaint ❑Re-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. <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medicalz ✓ V2-j._ " <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall / i' ✓' <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. <br /> _5.HSC Section 117900-Shall not haul med /f <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. T <br /> 7.HSC Section 117908-Common Storage �� ;GU'o U� "- yw_I e L (A 4 ek1 At o - <br /> facility shall be registered with local enforcement c� . n; q � �) <br /> agency. `���fi0i �� E�. 4i�x>Lx:r�L)t1� L��(i_�iT _ r�s.� r✓ry-1 <br /> Procedures -AG , fin �.v� > �..( ��b�C� �7;i�." , Y'VI <br /> _8.HSC Section 117935-SQG MWMPst _ ,� `- <br /> —9.HSC Section 117943-SQG Shall keep r�i vvr� IC7ti? Vl fi 71i.✓ t� <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. A INA �(� �,� �y/f}-��7�► <br /> _11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. z�E213cQ 1114 Ki <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage ' <br /> _14.HSC Section 118135-Shall obtain a permit ; 1,ja <br /> from the enforcement agency to treat medical _ <br /> waste prior to treating the waste. / / i ? <br /> _15.HSC Section 118765-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 �- I al/ � \ Y)i7�- Yl Sir f J <br /> anatomical parts shall be disposed of by interment L <br /> unless otherwise hazardous. Y <br /> >-� <br /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. `` <br /> _)�J9.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. ;'L <br /> , U-T/!0 <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required n t i ature Received By j Date <br /> 29 Other-Describe in narrative. <br />