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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date 67 -2Z Of <br />Record ID-q53*C6' <br />Prog Elern C -?T <br />Facility Name S�'�acilityAddress �b �, OS0t <br />Facility Contact ` Ci Title OA- Phone # <br />INSPECTION TYPE: <br />utine <br />Registration <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation <br />of medical waste. <br />_2. HSC Section 117903 -Permit from the <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 <br />the 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. <br />Procedures <br />_8.HSC Section 117935-SQG MWMP <br />_9.1-13C 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 <br />MWMP 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 />Treatment/Storage , <br />_14.HSC Section 118135 -Shall obtain a <br />permit from the enforcement agency to treat <br />medical waste prior to treating the waste. <br />_15.HSC Section 118765 -All treatment <br />rec r 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 <br />m <br />huan anatomical parts shall be disposed of by <br />interment unless otherwise hazardous. <br />-6e--destroyed <br />Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />_19.HSC Section 118275 -MW red bags, path, <br />chi�Mo 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 118310 -Enclosure labeled. <br />24.HSC Section 118305 -Cannot reuse drums <br />_25.HSC Section 117630 -Approved biohazard <br />bag used. <br />26. Other -Describe in narrative. <br />❑Complaint <br />VIOLATION(S) <br />❑Reinspection <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />HEALTH & SAFETY CODE (HSC): <br />�� ' r!��.' • rte. as ��� ��T&OK I _ _.�• trr� <br />.l'A _ -- r--- — rte_ _, 7 ;-. — i 1?. --1.-'7'7 — 1— b f Q. . -j- <br />I— — . 0 1 I — ' — - ' — — - — . -- „ L. — <br />