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4`' t s MEDICAL WASTE INSPECTION REPORT Date: March 23, 2023 r. ? San Joaquin County Environmental Health Department ;t Program _ 1868 E . Hazelton Ave . , Stockton, CA 95205 Record : �1J � 040 ' (209) 468-3420 Program oq0rF0 �P www.sioov.ora/ehd Element: 4520 Facility Name Address City Zip Code Ambulatory Surgery Center of Stockton 2388 N California St. Stockton 95204 Facility Contact Title Phone Number Email Inspection Type Gary Bry Materials Manager 209-490-4753 Routine The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code (HSC ) . Registration Treatment HSC 117890 -, No LQG shall generate medical waste unless HSC 118130 - All onsite medical waste treatment facilities shall be El 1 ' registered with the EA . ❑ 17 ' permitted by the EA . HSC 117950 - LQG shall register with the EA prior to generating El 2 ' medical waste . ❑ 18. HSC 118165 - All treatment records shall be kept for 3 years . HSC 117903 - Permit from the EA is required prior to treating HSC 118215 - All medical waste shall be treated pursuant to this El 3 ' medical waste . El 19 ' section. HSC 117925 - SQG that treats medical waste onsite shall HSC 118220 -, Pathology waste of a human nature shall be El 4' register with the EA . ❑ 20' disposed of by interment, incineration, or an approved alternative . HSC 117900 - Shall not haul medical waste unless registered , HSC 118222 - Contaminated pathology waste , trace chemo ❑ 5 , common carrier, trauma scene practitioner, or exempted under ❑ 21 , waste, or pharm waste from health care settings shall be treated by the MOT exemption. incineration or an approved alternative. HSC 117928 1,, Common Storage Facility shall have permit HSC 118225 -, Sharps waste shall be treated pursuant to this El 6 ' insured by the EA . El 22 ' section. HSC 117890 - LQG shall notify EA 72 hours prior to El 7 . Containment/Storage participating in temporary event. HSC 117895 - SQG shall notify EA 72 hours prior to HSC 117630 - Biohazard bag shall meet the standards set forth in El 8 ' participating in temporary event. El 23' this section. HSC 118275 - Medical, biohazardous , sharps , trace chemo , Records/ Documentation ❑ 24 pathology , or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled . ❑ 9 . HSC 117935 - Registered SQG shall file MWMP with the EA . ❑ 25 HSC 118280 - Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943 - SQG required to register shall maintain treatment HSC 118285 - Sharps waste shall be containerized and stored El 10 . and tracking records for 3 years . El 26 ' pursuant to this section. HSC 117945 - SQG not required to register shall maintain HSC 118295 - Containers shall be washed and decontaminated El 11 . 27 information document and USPS records for 3 years . ❑ ' pursuant to this section. HSC 118305 - Reuseable drums or conainters used for medical ❑ 12 . HSC 117960 LQG shall file MWMP with the EA . ❑ 28. waste shall not be used for other storage . ❑ HSC 117975 - LQG shall maintain treatment and tracking 29HSC 118307- Intermediate storage area shall be secured and 13 . documents for 2 years . ❑ ' marked with proper signage . Transportation ❑ 30 . HSC 118310 - Designated accumulation area shall be secured and marked with proper signage. ❑ 14 . HSC 117946 - MOT exemption requirements for SQG . Other ❑ 15 . HSC 117976 - MOT exemption requirements for LQG . ® 31 . HSC 117970 - Medical Waste Generator Registration ❑ 16 . HSC 118032 - Pharmaceutical waste hauling exemption. ❑ 32 . Received by: Print: Gary Bry Signature : EMAILED Phone : 209-490-4753 Specialist: Print: Sandip Singh Signature : Phone : 209-468-3526 Reinspecion on/about: A reinspection fee of $156 per hour may be charged . Page 1 of 2 EH -2/2023