Laserfiche WebLink
SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR OSAGISg* <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName FadlityAddress—la'&UN-La <br /> avcyo- Sk- <br /> FacilityContact Nog:. z,'g Title 4r4f)j'ZAj4-ar Phone gt(q�DJ14�1j -ql�oDxrA <br /> j <br /> INSPECTION TYPE: XRoutine EiComplaint 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 /> -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 <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall !-I rd 2IM= wn� reP. F 14fMAUA Cal <br /> generate medical waste unless registered with theC- <br /> enforcement agency. CtOA <br /> —4.HSC Section 11 7895-SQG that treats med S MCI- <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med <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 /> 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 k UA <br /> I &VC1 n�&0 rW, (f, AVI CIA-n UGJ <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> I IMSC Section 117960-LQG shall file MWMP <br /> �fth enforcement agency. f, <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> 13.HSC Section 118030-LQHE application. % <br /> i-reatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit 'I I±Iaz� <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> —I 6.HSC Section 118765-All treatment records - I jW n r4 h,LV JCA� tA3 <br /> shall be kept for 3 years. W- <br /> 16.HSC Section 18215-All medical waste A-1-. <br /> 11 L-1 <br /> shall be treated pursuant to this section. T <br /> --17.HSC Section 118220-Recognizable human jrt-,<�WA Q) <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. V) i2j <br /> --1 8.HSC Section 118225-Treated sharps shall r <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 <br /> bag used. <br /> 27.HSC Section 118275(g)-Pharm iabel/storeplolwf' <br /> -F.kyyvl^-) —i <br /> _jk,',28.HSC Section 118222-1 ncine ration Required InspOctor Signature Received By , t <br /> 29 Other-Describe in narrative. <br />