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®P"a`'''!N•c SAN JOAQUIN COUNTY Date <br /> 51XI 11 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR (2) <br /> 600 East Main Street, Stockton, CA 95202 <br /> two { <br /> (209)468-3420 <br /> ��i,FOR `P MEDICAL WASTE INSPECTION FORM <br /> FacilityName Mbi 116u'�Crm Ct& FacilityAddress a3B8 • (�, 1+M1n1CL C17+- <br /> FacilityContact N{ CrgA Title l mini ,a�-of Phone# 9!1�- b <br /> �i <br /> INSPECTION TYPE: outine ❑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. g +� ,- - S . (>,SM, <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical u <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall r <br /> generate medical waste unless registered with the q IA <br /> 0. S <br /> enforcement agency. 1 <br /> _4.HSC Section 117895-SQG that treats med rjlAtAn 1..A e, <br /> waste shall register with enforcement agency. IA i <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. <br /> _6.1-11SC Section 117903-Shall not treat med C' - <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. r <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.1-11SC Section 117943-SQG Shall keep <br /> records for 3 years. j G 1Ir ID S,,- �'� 10 t 1 <br /> _10.1-11SC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LQG shall file MWMP a <br /> with enforcement agency. Vv del <br /> _12.HSC Section 117975-LQG shall keepCtrs T <br /> records for 3 years. IMP <br /> Transportation w LALCTm Aeve !�1 f <br /> _13.HSC Section 118030-LQHE application. LLi <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit 5 C S <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> —ll be kept for 3 years. <br /> 16.HSC Section 118215-All medical waste <br /> ;—hall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall i <br /> be destroyed or somehow prevent public access. <br /> _19.1-11SC Section 118275-MW red bags,path, Ms <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps label/contain <br /> _22.1-11SC Section 118295-Proper decon used. <br /> _23.1-11SC 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. d <br /> X27.HSC Section 118275(g)-Pharm label/store <br /> _28.1-11SC Section 118222-Incineration Required Insp or Signature Received B to <br /> 29 Other-Describe in narrative. <br />