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. • Date <br /> Record ID isoZ� <br /> Prog Elem. S,Z� <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 i4P,/ y Facility Address ISI ("J. yo' em o'er <br /> Facility ContactLLC),.- k,�,/ Title r H t� ��[_._tea/fk✓ Phone # <br /> INSPECTION TYPE: g.Routine ❑Complaint ❑Reinspection <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 1 <br /> of medical waste, +P f # 7 /b Iva loll& Lt)Q S (MSi f <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical _ c I <br /> waste., �/ <br /> _3.HSC Section 117890-No large LQG shall / (-Q ll.(C <br /> generate medical waste unless registered with <br /> the enforcement agency. <br /> 4.HSC Section 117895-SQG that treats med j� o� � <br /> waste shall register with enforcement agency. LL I _ <br /> _5.HSC Section 117900-Shall not haul med C . <br /> waste unless registered or obtained LQHE. <br /> - 6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. �. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement c�j-Zk•P <br /> agency. n-- Gp ff I A � lT�1Sl , CJI i��0. m. <br /> 1� <br /> Procedures <br /> S.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep / <br /> records for 3 years. S�Via' A69.E (� 141 L5� N G—G1� <br /> 10.HSC Section 117945-SQG not required to - <br /> regi er shall keep records for 2 years. �+ <br /> 11.HSC Section 117960-LQG shall file <br /> MWMP with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation - /1 crk-o -h- <br /> 13. <br /> 13.HSC Section 118030-LQHE application. f l r'C� / �!/� %ids �� o /) �Jiti���'1L 1 <br /> Treatment/Storage - <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 /> _15.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 /> be destroyed or somehow prevent public access. - <br /> _19.HSC Section 118275-MW red bags,path, <br /> the no shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain <br /> 21.HSC Section 118285-Sharps label/contain <br /> HSC Section 118295-Proper decon used. <br /> 23ASC Section 118310-Enclosure labeled. <br /> _24.HSC Section 118305-Cannot reuse drums <br /> _25.HSC Section 117630-Approved biohazard <br /> bag used. <br /> 26.Other-Describe in narrative. Iflspe for ignature Received By <br />