Laserfiche WebLink
SAN JOAQUIN COUNTY Date Lt�►i -t1-( <br />EN IRONMENTAL HEALTH DEPARTMER PR c-4n�3 <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName L.gDi jdeim 1-,?Al tjuep : t FacilityAddress �i�7S' rG_rlr m[i✓L� <br />FacilityContact (z j %�_ y� r� r. i Title 52�r i� I �S ter► ha O�1L ,Phone# Wi <br />INSPECTION TYPE: pRoutine ❑Complaint ❑Re -inspection I <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. <br />_2. HSC Section 117903 -Permit from the <br />6= `' `T--ti��T]4t [ t- Zi✓Z_�(�U !�"�J 1 �. CAVI. �•►.1%LU r✓;1 <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 />` <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 />�. <br />-ALL C4 <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 enforcementL <br />agency. <br />Procedures <br />_8.1-11SC Section 117935-SQG MWMP <br />_9.1-11SC Section 117943-SQG Shall keep <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />_11.HSC Section 117960-LQG shall file MWMP <br />b e <br />with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />^� <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />._- ;MAy[�t�:�y� LY%i 11f � CZ—I 7 <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />/`-\\ <br />`i.nc� L[\�1.�, —L ci Of <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 />_17.HSC Section 118220 -Recognizable human <br />anatomical parts shall be disposed of by interment <br />unless otherwise hazardous. <br />_ <br />_18.HSC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />_K19.HSC Section 118275 -MW red bags, path, <br />Dkt <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 />_23.HSC Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />_25.1-11SC 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 />4eiBy <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />1' r Signature Date <br />