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= MEDICAL WASTE INSPECTION REPORT Date: September 8,2025 <br /> ` San Joaquin County Environmental Health Department Program <br /> 1 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0636168 <br /> (209)468-3420 Program <br /> �. www.sioay.om/ehd Element: 4520 <br /> Facility Name Address City Zip Code <br /> Ambulatory Surgery Center of Stockton 2388 N California St Stockton 95204 <br /> Facility Contact Title Phone Number Email Inspection Type <br /> Tamara Prewett Safety Officer 209-944-9100 x 153 Routine <br /> The above facility Is Inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). <br /> Registration Treatment <br /> HSC 117890-No LOG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall <br /> El 1' registered with the EA. El 17' be permitted by the EA. <br /> ❑ <br /> HSC 117950-LOG shall register with the EA priorto 2' ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. <br /> generating medical waste. <br /> HSC 117903-Permit from the EA is required prior to treating HSC 118216-All medical waste shall be treated pursuant to this <br /> ❑ 3' 19 medical waste. ❑ ' 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 /> ❑ 6. common carder,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated <br /> under the MOT exemption. bv 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 /> ❑ 6' issued by the EA. El 22' section. <br /> ❑ 7 HSC 117890-LOG shall notify EA 72 hours prior to Containment/Storage <br /> participating in temporary event. <br /> HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth <br /> ❑ 8' participating in temporary event. ❑ 23' in this section. <br /> HSC 118276.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 /> DrODedv labeled. <br /> ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25. HSC 118280-Biohazard bags shall be containerized and stored <br /> pursuant to this section. <br /> HSC 117943-SQG required to register shall maintain 26 HSC 118285-Sharps waste shall be containerized and stored <br /> ❑ 10. treatment and tracking records for 3 years. ® ' pursuant to this section. <br /> HSC 117MS-SQG not required to register shall maintain 27 HSC 118295-Containers shall be washed and decontaminated <br /> ❑ 11. Information document and LISPS records for 3 years. ❑ pursuant to this section. <br /> HSC 118306.Reuseable drums or containers used for medical <br /> 12. HSC 117960-LQG shall file MWMP with the F.A. ❑ 28. waste shall not be used for other storage. <br /> HSC 117975-LOG shall maintain treatment and tracking 29 HSC 118307-Intermediate storage area shall be secured and <br /> ® 13. documents for 2 years. ❑ ' 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 LOG. ❑ 31. <br /> ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. <br /> Received by:Print: Tamara Prewett Signature: EMAILED Phone:209-944-9100 Ext 153 <br /> Specialist: Print: Sandip Singh Signature: 5:m# Phone:209468-3526 <br /> Relnspeclon onlabout: A reinspection fee of$179 per hour may be charged. Page 1 of 3 <br /> EH-2/2023 <br />