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IN COUNTY 0 <br />SAN <br />/ ! '... <br />• a 1 <br />600 East Main Street, Stockton, CA 95202 <br />U• 468-3420 <br />Facility �..FacilityAddress r <br />♦. 3333 1 < <br />ContactFacility f5w <br />hone # <br />��� <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the generation of <br />'i5) Me G 1�')a S-ri }YAn-km@n"i"" mG IGS n <br />medicale. <br />_2. HSCC Section 117903 -Permit from the <br />, <br />`��y Li G`w rsnl i tee �otarfk. Qrvfbai& Iry &6A„_ <br />enforcement agency required to treat medical <br />waste. <br />- - <br />_3. HSC Section 117890 -No large LQG shall <br />Qe-AA �nf al.�S � �f'ti&A a Le rtsi =L-xiVac m. ,Pvivu <br />generate medical waste unless registered with the <br />enforcement agency. <br />_4. HSC Section 117895-SQG that treats medI <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med <br />waste unless registered or obtained LQHE. <br />_6.1-11SC Section 117903 -Shall not treat med <br />�,� �1e%f l Sy �,n►l'rnn .�Z�G Sn, r�a.�[ �f a t1. <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />'�' / [ 7e S /� 'd— �' Pfi:..._- _ <br />fa cility shall be registered with local enforcement <br />agency. <br />Procedures <br />D <br />8.1-11SC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />_ C <br />records for 3 years. <br />_10.1-11SC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />11.HSC Section 117960-LQG shall file MWMP <br />cyst <br />with enforcement agency. <br />e ti <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />#'2 / 5 alb -fe k10_ OSI oo0vl <br />14 Ia`rk <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />Section 118135 -Shall obtain a permit <br />-Mg- <br />From <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />A15.HSC Section 118765 -All treatment records <br />" a <br />shall be kept for 3 years. <br />e <br />_16.1-11SC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable human <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />AS� <br />'18.1•ISC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />f"!'` <br />_19.1-11SC Section 118275 -MW red bags, path, <br />Ch§MO shall be labeled properly. <br />` , ", �`G <br />O.HSC Section 118280 -MW label & containfi <br />D®rte f� n.P/,L , y0' ✓ Ti Sf , f n 5fio n� ? /�nr, ✓ <br />21.HSC Section 118285 -Sharps label/contain <br />_ 22.HSC Section 118295 -Proper decon used. <br />, <br />�23.HSC Section 118307 -Interim storage labeled <br />Section 118310 -&closure labeled. <br />f <br />'2gZ 14�24.HSC <br />_25.1-11SC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />_27.HSC Section 118275(g)-Pharm label/store <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />In pect r Sign ture Received By Date <br />M-1 <br />