Laserfiche WebLink
oPaU"! Date <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR (rS <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName �6x\ (,a(,A(_ FacilityAddress a1tS V\)_ <br /> FacilityContact �o J\\, INw Title 0S UAjl4 —Phone# %:Is -1 gt 5 <br /> INSPECTION TYPE: �toultine ElComplaint EiRe-inspection <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 /> Z;e—nerator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. 1Vj A 'o/)r, (NDle-A � l S <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical \j <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> uex,(Nc,,.,Adu4A lhu 14�, Moidy <br /> enforcement agency. �eA <br /> 4.HSC Section 117895-SQG that treats medI I- <br /> 0V\LA1f"C\CftM1J'1QkN <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med Uki t 0 <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> Ta—cility shall be registered with local enforcement if, <br /> agency. 11 <br /> Procedures Sic/--,10 �Is <br /> —8.HSC Section 117935-SQG MWMP CJ CA O'\ '� 5 <br /> 9.HSC Section 117943-SQG Shall keep 'A (_ � hy <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. 3 n AMC41'afl- <br /> � <br /> I I.HSC Section 11 7960-LQG shall file MWMP <br /> AM-If� /A ith enforcement agency. AA^'-r OV I�16 <br /> -1 2.HSC Section 11 7975-LQG shall keepMK46 <br /> records for 3 years. <br /> Transportation IaV\UAN! - I'li, <br /> —13.HSC Section 11 8030-LQHE application. I OA --A& <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. 13, ujn5, [&'Vw'1tj L LL <br /> —1 5.HSC Section 11 8766-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 11821 5-All medical waste <br /> ;—hall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable human -(\d ov, <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. 0\NL'VL\LL ±Df <br /> —1 8.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> 19.HSC Section 118275-MW red bags,path, <br /> "ch_emo 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. <br /> —27.HSC Section 118275(g)-Pharm label/store �4AA( nM <br /> —28.HSC Section 118222-incineration Required Inspedor Signature Received By Date <br /> 29 Other-Describe in narrative. <br />