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oa4U1 <br /> SAN JOAQUIN COUNTYDate /26/10/0 <br /> ENVIRONMENTAL HEALTH DEPARTMEIN I PR <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName_L�� "yAhNN, 2A <br /> U&U,v FacilityAddress Zl!a 6' <br /> FacilityContact--GN-4-9% !F26A.16) Title 4=eg,--;P- Phone# 9-M sftS-- <br /> INSPECTION TYPE: Routine EiComplaint EiRe-inspection <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 /> Generator shall register with the enforcement <br /> agency priorto commencement of the generation of <br /> medical waste. 6AJ yku, aw- 2j=a OW4A IA&A Lf-I&IO :Ll—ru= <br /> 2.HSC Section 117903-Permit from the - <br /> enforcement agency required to treat medical 6`�- Z3As AID A16 <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. -cu <br /> —4.HSC Section 117895-SQG that treats med :k <br /> waste shall register with enforcement agency- <br /> -5.HSC Section 117900-Shall not haul med e1:5 scaae&- aL�� <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 9= <br /> facility shall be registered with local enforcement a e <br /> agency. <br /> Procedures <br /> —8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. 16 <br /> —10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> I 1.HSC Section 11 7960-LQG shall file MWMP <br /> with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> —14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> 15.HSC Section 118765-All treatment records <br /> 'i-h—all 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 /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> 18.HSC Section 118225-Treated sharps shall <br /> bedestroyedor 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 <br /> bag used. �/2S/l D <br /> —27.HSC Section 118276(g)-Pharm labial/store <br /> —28.HSC Section 118222-incineration Required Inspector Signature Received By Date <br /> 29 Other-Describe in narrative. <br />