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Environmental Health Di on <br />San Joaquin County <br />Public Health Services <br />P 0 Box 2009 Stockton, Ca 95201 <br />MEDICAL WASTE INSPECTION FORM <br />COMPUTER NO. <br />PERMIT NO. `t"� Z Z l—�Ju %Z 9 T <br />PERMITS A PROCEDURES <br />STR. OPER. <br />0V_ 1.. PERMIT TO OPERATOR <br />M�V2. PROCEDURES 8 POLICY <br />(up to date, on tile, with H.D.) <br />3. INFECTIOUS WASTE IDENTIFIED <br />�l 4. PROVIDE COPY MATERIAL DATA SHEET <br />5. IDENTIFY HANDLING FROM <br />GENERATION TO DISPOSAL <br />AD _ 6 DISINFECTING 8 CLEAN-UP IDENTIFIED <br />7. AIR POLLUTION INCINERATION PERMIT <br />ON FILE <br />(1C 8, ANNUAL CALIBRATION CHECK <br />FOR STERILIZER <br />9. BAG STRENGTH ON FILE <br />(165, gram,strength) <br />STORAGE/ CONTAINERS <br />S. 10, PROTECTION FROM INSECTS/ RODENTS, <br />WIND, RAIN, 8 ANIMALS <br />tjk_ 11. SEGREGATED AT POINT OF ORIGIN <br />12, SEPARATE FROM OTHER WASTES <br />_ 0---13. __JCONTAINERS IN LOCKED AREA REOUIRED <br />Dt-14. WARNING SIGN IN ENGLISH i <br />SPANISHIVISABLE <br />15. ON SITE STORAGE TIME <br />.� i6 LEAKPROOF. PUNCTURE -RESISTANT <br />CONTAINERS to BAGS <br />17. BAGS LABELED INFECTIOUS <br />WASTE/BIO-HAZARD <br />18, TIGHTLY LIDDED CONTAINERS <br />19. CONTAINERS LABELED - BOTH SIDES 8 TOP <br />LLI�-20 CONTAINER WASH AREA PROPERLY <br />DRAINED WITH HOT WATER <br />TREATMENT/ DISPOSAL <br />21, REGISTERED HAZARDOUS <br />WASTE HAULER <br />22'. INCINERATION <br />_ x'23. HEAT STERILIZATION <br />, <br />JC/24. DRAIN TO A SANITARY SEWER LINE <br />&---25. REUSABLE CONTAINERS CLEANED EACH <br />TIME THEY ARE EMPTIED x PROPERLY <br />(/� SANITIZED <br />Qr 26. LEAKPROOF DUMPSTER ON SITE <br />EH W 01 <br />0. <br />-q3 <br />THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br />AT.T. REINSPECTTON4 WTT-1. BE BILLED AT THE RATE OF <br />$78/HOUR. <br />01 <br />SAI I ARIr1N RECEIVED BY 7 <br />