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9 SAN JOAQUIN COUNTY Date7(120 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0511 <br /> Sa,� <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FadfityNarne—kW,-)ey Pe5x\iINAeAe- FacilityAddress MI W, yOSemj+e- Ala . <br /> FacilityContact 7 nr�'a- Sh 'j Title E( S Phone# %16 -'�\% <br /> INSPECTION TYPE: KRoutine ElComplaint oRe-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC Section 117965-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical t J'\-No e--,t i 1, <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med <br /> waste shall register with enforcement agency. CA' <br /> —5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. ll <br /> A <br /> —6.HSC Section 117903-Shall not treat med ()-f\ <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage X17 W 1 nC1ua,,4- <br /> facility 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 v <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to L L 4.1 Al <br /> register shall keep records for 2 years. <br /> 1 I.HSC Section 11 7960-LQG shall file MWMP <br /> with enforcement agency. 21 . +(11(' <br /> —12.HSC Section 117975-LQG shall keep - <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storage 4QgAl I A)(4 <br /> 14.HSC Section 118135-Shall obtain a permit (A <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> 15.HSC Section 118765-All treatment records <br /> 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 human <br /> Yn—atomical parts shall be disposed of by interment <br /> 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 /> chemo shall be labeled properly. <br /> —20.HSC Section 118280-MW label&contain <br /> —21.HSC Section 118285-Sharps label/contain <br /> —22.HSC Section 118295-Proper decon used. <br /> —23.HSC Section 118307-Interim storage labeled <br /> —24.HSC Section 118310-Enclosure labeled. <br /> —25.HSC Section 118305-Cannot reuse drums <br /> 26.HSC Section 117630-Approved biohazard f I <br /> bag used. YIX-71t-P- <br /> -27.HSC Section 118275(g)-Pharm label/store 64'M A'nNP-- <br /> —28.HSC Section 118222-incineration Required Insp&tor Signature Received By Date <br /> 29 Other-Describe in narrative. <br />