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"'" MEDICAL WASTEPECTION REPORT j <br /> 2' °Z Date: �`l�U/ i-1 <br /> . San Joaquin County Environmental Health Department Program <br /> .:� <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: p -ps �2L <br /> (209)468-3420 Program <br /> www.slogv.org/ehd Element: <br /> Facility Name Address City Zip Code <br /> Kaiser Permanente 2185 w.grant line rd Tracy 95377 <br /> Facility Contact Title Phone Number Email Inspection Type <br /> Tonia Shaw Safety Operation Leader for (209)-629-7324 tonia.j.shaw@kp. Routine <br /> Central Valley Area org <br /> The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). <br /> Registration Treatment <br /> ❑ <br /> HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall 1 registered with the EA. El 17' be permitted by the EA. <br /> HSC 117950-LQG shall register with the EA prior to <br /> [j 2' generating medical waste. ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. <br /> HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to <br /> El 3. medical waste. El 19' I this section. <br /> HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be <br /> ❑ 4. register with the EA. ❑ 20. disposed of by interment,incineration,or an approved <br /> alternative. <br /> HSC 117900-Shall not haul medical waste unless registered, HSC 118222 Contaminated pathology waste,trace chemo <br /> ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated <br /> under the MOT exemption. by incineration or an approved alternative. <br /> HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this <br /> F1 6' issured by the EA. ❑ 22' section. <br /> ❑ 7 HSC 117890-LQG shall notify EA 72 hours prior to Containment/Storage <br /> participating in temporary event. <br /> ❑ <br /> HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth 8. participatingin temporary event. ❑ 23' in this section. <br /> HSC 118275-Medical,biohazardous,sharps,trace chemo, <br /> Records/Documentation ❑ 24 pathology,or pharmaceutical waste shall be segregated and <br /> contained pursuant to this section. The container shall be <br /> properly labeled. <br /> ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and <br /> stored pursuant to this section. <br /> ❑ 10. HSC 117943-SQG required to register shall maintain ❑ 26 HSC 118285-Sharps waste shall be containerized and stored <br /> treatment and shipping and tracking records for 3 years. pursuant to this section. <br /> ❑ 11. HSC 117945-SQG not required to register shall maintain ❑ 27 HSC 118295-Containers shall be washed and decontaminated <br /> information document and transportation records for 3 years. pursuant to this section. <br /> ❑ <br /> HSC 118305- Reuseable drums or conainters used for medical 12. HSC 117960-LQG shall file MWMP with the EA. [j 28. waste shall not be used for other storage. <br /> HSC 117975-LQG shall maintain treatment and shipping andHSC 118307- Intermediate storage area shall be secured and <br /> ❑ 11 tracking documents for 2 years. El29' marked with proper signage. <br /> Transportation ❑ 30. HSC 118310-Designated accumulation area shall be secured <br /> and marked with proper signage. <br /> ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other <br /> ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. <br /> ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. <br /> Received by: Print: Tonia Shaw Signature: �10'Vl�l/� S ) Phone: & �( X9-73? <br /> Specialist: Print: Lor Xiong Signature: Phone *L""� 468 — 1401 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />