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SAN JOAQUIN COUNTY Date to -10-i3 <br />E IRONMENTAL HEALTH DEPARTMEN PR ys00033 <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName Loc`�c A-- w>_.rn->- (l vrn lr, I-FacilityAddress 1Z1-1 '-� •�- <br />0 N, <br />Facil <br />INSPECTION TYPE: routine <br />-1 <br />❑Complaint ❑Re -inspection <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />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 <br />enforcement agency required to treat medical <br />(I lip <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />nn�L �G <br />1'7 �r7 �t J1\�nc� <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 />i -� <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 />O Stn o t �iS C JCS O - <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />CA, A C4 Mov <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years.p <br />_10.HSC Section 117945-SQG not required to <br />7 <br />register shall keep records for 2 years. <br />Section 117960-LQG shall file MWMPwith enforcement agency. <br />�1 <br />yLICA'S t�4_11.HSC <br />�� zc, )N� 1.) no I4n[4� �✓ �v%a. <br />�- tt�✓v� t?�� <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />r'�—)C. �� L �,� gaq T, A}� ( Ir <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />_15.HSC Section 118765 -All treatment records <br />shall be kept for 3 years. <br />_16.HSC Section 118215 -All medical waste <br />shall 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 <br />be destroyed or somehow prevent public access. <br />_19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />Section 118280 -MW label & contain <br />_20.HSC <br />_21.HSC Section 118285 -Sharps label/contain <br />22.HSC Section 118295 -Proper decon used. <br />01-2 <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 />o�Y7.HSC Section 118275(g)-Pharm label/store <br />-v -13 <br />_28.HSC Section 118222 -Incineration Required <br />CtOr ignatureecei By Date <br />29 Other -Describe in narrative. <br />