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41! s MEDICAL WASTE INSPECTION REPORT Date: March 23, 2023 z ? San Joaquin County Environmental Health Department ;t Program 5'o � /C� _ 1868 E. Hazelton Ave., Stockton, CA 95205 Record: �1J ' (209) 468-3420 Program oq�rFda��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 118216 -All medical waste shall be treated pursuant to this 3' medical waste. El 19' section. HSC 117926 - 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 - Common Storage Facility shall have permit HSC 118226 - 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' artici ati in temporary event. ❑ 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. 26 and tracking records for 3 years. ❑ ' 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 HSC 118307- Intermediate storage area shall be secured and 13. documents for 2 years. ❑ 29' 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 ❑ rl . HSC 118032 - Pharmaceutical waste hauling exemption. r0j 32. Received by: Print: Gary Bry Signature: EM..AILE,,D Phone: 209-490-4753 Specialist: Print: Sandip Singh Signature:c�� Phone: 209 468 3526 Reinspecion on/about: A reinspection fee of$156 per hour may be charged. Page 1 of 2 EH-2/2023