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• <br />0 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date 0. <br />Record I cI 1(o <br />Prog Elern�-I��. o <br />?h!�e 14 a�' <br />Facility Name- �ia� Facility Address <br />Facility Contact 1�1 rN. `rr� �rr A Titled J P ( c'� �Q�Phone # Co - S4y <br />INSPECTION TYPE: Moutine <br />❑Complaint <br />VIOLATION(S) <br />❑Reinspection <br />RegistqkWn <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />HEALTH & SAFETY CODE (HSC): <br />to commencement of the generation <br />agency Prior <br />of medical waste. <br />J _ <br />I� n� c� �n r,>/ ( �.�5 T(J iIO�ViP_ <br />HSC Section 117903 -Permit from the <br />j <br />_2. <br />enforcement agency required to treat medical <br />CA -,N-0 c r -e (�1�� o n C x� c_,_Nl �n A ::JM'I I A � , -e � AD <br />fin I) )h'9(-) -F h"; re IS G1 12oG r -f i o -e (� S u I t <br />waste. <br />HSC Section 117890 -No large LQG shall <br />.- ?� �0�► re ( hrLi Cr DC -L Ihea c 1G <br />_3. <br />generate medical waste unless registered with <br />the enforcement agency. <br />HSC Section 117895-SQG that treats med <br />e <br />_4. <br />waste shall register with enforcement agency. <br />HSC Section 117900 -Shall not haul med <br />_5. <br />waste unless registered or obtained LQHE. <br />Section 117903 -Shall not treat med <br />S ° <br />_6.HSC <br />waste without permit from enforcement agency. <br />Section 117908 -Common Storage <br />_7.HSC <br />facility shall be registered with local enforcement <br />„ 4 <br />agency. <br />Procedures <br />Section 117935-SQG MWMP <br />_8.HSC <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />Section 117945-SQG not required to <br />�1 ' <br />(1 <br />_10.HSC <br />register shall keep records for 2 years. <br />�a� {7�lSet Ay �r`11Y1 c* s fYj hia; S1t71�� <br />�� <br />11.HSC Section 117960-LQG shall file <br />-kW-MP with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />1 <br />records for 3 years. <br />_ <br />Transportation <br />T I f% Z <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />Section 118135 -Shall obtain a <br />_14.HSC <br />permit from the enforcement agency to treat <br />medical waste prior to treating the waste. <br />Section 118765 -All treatment <br />_15.HSC <br />Vrec rds shall be kept for 3 years. <br />16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />Section 118220 -Recognizable <br />, <br />_17.HSC <br />human anatomical parts shall be disposed of by <br />interment unless otherwise hazardous. <br />_18.HSC Section 118225 -Treated sharps shall <br />%be estroyed or somehow prevent public access. <br />19.HSC Section 118275 -MW red bags, path, <br />`'.tryr'Trn <br />l <br />ch9mo shall be labeled properly. <br />O.HSC Section 118280 -MW label & contain <br />7 <br />Section 118285 -Sharps label/contain <br />—21.HSC <br />Section 118295 -Proper decon used. <br />oD aw n� <br />a <br />_22.HSC <br />Section 118310 -Enclosure labeled. <br />_23.HSC <br />_24.HSC Section 118305 -Cannot reuse drums <br />25.HSC Section 117630 -Approved biohazard%fLiL <br />' <br />bag— used. <br />d <br />4 <br />— 26. Other -Describe in narrative. <br />Ins ecto Sign ure Recei By <br />