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MEDICAL WASTOSPECTION REPORT 6V[l Date: San Joaquin County Environmental Health Department Program (J�h r� "� 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: ! U r (209)468-3420 t Program qs2b www.siogv.org/ehd Element: Facility Name Address City Zip Code Kaiser 7373 west lane Stockton 95210 Facility Contact Title Phone Number Email Inspection Type Yesenia Gallo Safety Specialist 209-305-5490 yesenia.gallo@kp Routine .org The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment ❑ HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall 1 registered with the EA. El 17. be permitted by the EA. HSC 117950-LQG shall register with the EA prior to El 2" generating medical waste. ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to El 3. medical waste. El 19' this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4. register with the EA. ❑ 20. disposed of by interment, incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. ❑ HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this 6' issured by the EA. El 22. section. ❑ 7 HSC 117890-LQG shall notify EA 72 hours prior to Containment/Storage participating in temporary event. ❑ HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth 8 participating in tempora event. E] 23' in this section. HSC 118275-Medical,biohazardous,sharps,trace chemo, Records/Documentation ® 24 pathology,or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. E] 9. 118280- Biohazard bags shall be containerized and 9. HSC 117935-Registered SQG shall file MWMP with the EA. 25. stored pursuant to this section. ❑ HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored 10. treatment and shipping and tracking records for 3 years. El 26. pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated El information document and transportation records for 3 years. El 27' pursuant to this section. ❑ 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical waste shall not be used for other storage. ❑ HSC 117975-LQG shall maintain treatment and shipping and 29HSC 118307- Intermediate storage area shall be secured and 13. tracking documents for 2 years. ❑ . marked with proper signage. Transportation El 30. HSC 118310-Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ )32. Received by: Print: Yesenia Gallo Signature: 1 Phone:209-305-5490 Specialist: Print: J.Easter Signature: Phone: 209-953-7310 Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 EH-11/17 (�!L_