Laserfiche WebLink
SAN JOAQUIN COUNTY Date E d 7 -VI <br />E IRONMENTAL HEALTH DEPARTME PR <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName Lcx -yjeo inn,- Ut t )�s,),Aztl FacilityAddress (05 _ Fa,j-fn Uj- <br />FacilityContact6rwtC, ilo�,c Title S 1 Phone#,�k9-,33c4-7 2f <br />INSPECTION TYPE: p$outine []Complaint ❑Re -inspection <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the generation of <br />medical waste.-ivxi <br />j <br />_2. HSC Section 117903 -Permit from the <br />` t <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />generate medical waste unless registered with the <br />enforcement agency. <br />r S j <br />1 ,' Y <br />_4. HSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med <br />rA -�'t'C A [rY1 t�p a-- t9t <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />// <br />'l ,moi l� `�1 i3 N. c_:l SILO C•d�.tJ�C--,) .t rte► }i /ca�'J+i1 <br />l <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />U /PIYJ +r. rVW-e)-7-t _ c i- c$[X'e, <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />P, )IA l� , 1, r -%--])►A <Ij l l)r) n IA t,J -\U� <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />W4 i <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />\ <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 />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />11,, <br />amu.- rAi�Xt� <br />_15.HSC Section 118765 -All treatment records <br />shall be kept for 3 years. <br />—� <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />� '�' ' <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 />471t)--, <br />be destroyed or somehow prevent public access. <br />- <br />)(19.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 <br />29 Other -Describe in narrative. <br />In A ct S' nature Received By Date <br />