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SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR ®53 Lil <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> ea <br /> A�! <br /> SO. <br /> OK `P MEDICAL WASTE INSPECTION FORM� <br /> FacilityName (5)tknnel Me Ak ,1 (,,4e FacilityAddress M1 F. Cnuna) - <br /> FacilityContact Colneryt, G406&, Title 01F)ic Manansu' Phone#��iJ9�3'73-agQb <br /> INSPECTION TYPE: Moultine []Complaint ❑Re-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 /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. 1 ' <br /> _2.HSC Section 117903-Permit from the 1 a�5 u'mL` a I I)e— l� <br /> enforcement agency required to treat medical �, U� °y" ' n <br /> waste. L <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med 133 <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. nn p <br /> _6.HSC Section 117903-Shall not treat med ® � ° 6 v '+ 1 1 <br /> waste without permit from enforcement agency. � p t,�I, <br /> _7.HSC Section 117908-Common Storage ( v Wb <br /> facility shall be registered with local enforcement <br /> agency. } <br /> agency. <br /> Procedures vv ' 0�- (. <br /> _8.HSC Section 117935-SQG MWMP 13 <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to ® v t <br /> re ister shall keep records for 2 years. �0 ,+ 'Pm6k1� i1 Il wsi co fz3u]4111-*� <br /> 11.HSC Section 117960-LQG shall file MWMP } <br /> with enforcement agency. 1 CA <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation fa1hnb rQ-Wl.A <br /> _13.HSC Section 118030-LQHE application. p <br /> Treatment/Storage vT <br /> _14.HSC Section 118135-Shall obtain a permit nVNILfM <br /> from the enforcement agency to treat medical <br /> waste mor 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 ,cA� LA <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human I r) 1A 0 Cl k A4411 <br /> anatomical parts shall be disposed of by interment L <br /> unless otherwise hazardous. j,. <br /> _18.HSC Section 118225-Treated sharps shall 'm , W 3 lA�t 1� �L <br /> be destroyed or somehow prevent public access. <br /> _19.HSC Section 118275-MW red bags,path, �$cJ ' i n Om� <j <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain SUOm. <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 /> ba used. ' <br /> 27.HSC Section 118275(g)-Pharm label/store _ l <br /> _28.HSC Section 118222-Incineration Required InS ctor Signature Received By Da e <br /> 29 Other-Describe in narrative. <br />