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Date <br /> Record 04�(&3-Zrri� V <br /> Prog Ele -4t!Zj <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 /> Facility Name Facility Address 121 LK) <br /> Facility Contact– Lewy— ® xx Title 114 lqhone#..SZLf <br /> P- � An Ll <br /> INSPECTION TYPE: &Koutine ElComplaint EIReinspection <br /> VIOL TIONS) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> �Ge—nerator shall register with the enforcement <br /> agency Prior to commencement of the generation <br /> of medical waste. <br /> 2.HSC Section 117903-Permit from the C <br /> -in--forcement agency required to treat medical <br /> waste. <br /> 3.HSC Section 117890-No large LQG shall ad ite (I Mg A I e-a_Q (L )a Q-110 AC <br /> generate medical waste unless registered with <br /> the enforcement agency. <br /> 4.HSC Section 117895-SQG that treats med 4,k <br /> InA a r-6 <br /> waste shall register With enforcement agency. Q 41"v-S VXi I'*L73, <br /> —5.HSC Section 117900-Shall not haul med t—L + <br /> waste unless registered or obtained LQHE <br /> A e^ LL IQ <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> 7.HSC Section 117908-common Storage <br /> Fad—ility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> 10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> —11ASC Section 117960-LQG shall file <br /> MW 413 with enforcement agency. <br /> 122AHISC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storage A <br /> —14.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat <br /> medical waste prior to treating the waste. <br /> —1 5.HSC Section 118765-All treatment <br /> records 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 <br /> human anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> 18.HSC Section 118225-Treated sharps shall <br /> e- destroyed or somehow prevent public access. <br /> 19.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 label1contain <br /> 22.HSC Section 118295-Proper decon used. <br /> 23.HSC Section 118310-Enclosure labeled. <br /> 24.HSC Section 118305-Cannot reuse drums <br /> —25.HSC Section 117630-Approved biohazard ;7 <br /> bag used. <br /> 26.Other-Describe in narrative. *e ei�vedBy <br /> Insplectory Signature edeived By <br />