Laserfiche WebLink
ocq�'N. o SAN JOAQUIN COUNTY Date 3- <br /> EPRONMENTAL HEALTH DEPARTMEIv PR 44- <br /> Q -� 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> A��FOR� <br /> FacilityName i,c-,r�)•, 'derrndvt,?:k1t�i, t. . FacilityAddress `115 -'S. r,nc�rc 7L <br /> FacilityContactr-yo,kAe- OmCs Title-Sc4r--k, st��,�c, Y[c(' Phone# <br /> 1.INSPECTION TYPE: ,A8outine ❑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. <br /> _2.HSC Section 117903-Permit from the ` "� '�'�� ,7 J <br /> enforcement agency required to treat medical ^ _ <br /> waste. <br /> 3.HSC Section 117890-No large LQG shall ;./ —Alp— y1 ck• <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. '311 _ <br /> Procedures - <br /> _8.HSC Section 117935-SQG MWMP f � ' <br /> _9.HSC Section 117943-SQG Shall keep ►1 1 C, 2�S t lZ-Yv\_ c� v►�e(^j Lc,-1 tc rG <br /> records for 3 years. ylC�I,k, V/-_ ��QG1r1 GLrI_ <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. _}��`� �• ,-yL ,��rs ,,IV A4 In re.r <br /> _11.HSC Section 117960-LQG shall file MWMP l— <br /> with enforcement agency. (?AO_v1 f�z c�}CrY� �L �[�1 T_ f X� �7Ci T <br /> X12.HSC Section 117975-LQG shall keep 0 t <br /> records for 3 years. ��� - r "P f. <br /> Transportation - <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit }-- <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. C: Yl 1 <br /> _15.HSC Section 118766-All treatment records ��)/, 1� �C%t,�J l?' ` <br /> shall be kept for 3 years. ��L�1(�i"�-�>� 6 <br /> _16.HSC Section 118215-All medical waste l <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human r <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall Cit <br /> be destroyed or somehow prevent public access. <br /> _K19.HSC Section 118275-MW red bags, path, _ <br /> chemo shall be labeled properly. ' <br /> _20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. <br /> _ <br /> �23.HSC 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. <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Ctor Signature Rece' By Date <br /> 29 Other-Describe in narrative. <br />