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Facility Namena_,:�,�,L
<br />Facility Contact -a-:
<br />INSPECTION TYPE:
<br />Registration
<br />_ 1. HSG SecUen 117955 -Large Ousnt t
<br />Generator shell rvglster %ith the anfOrcem 2
<br />agency pdarto car Mencement of the aeng
<br />of mgdical waste.
<br />_2. HSC Section 117903 -Permit from the
<br />enforcement agency raqu!md to treat mad <
<br />waste:
<br />-_,3. HSG Section 117e90 -Ivo large LCG s
<br />generate medical waste unieas raglsterad w
<br />the enforcement agency.
<br />_4. HSC Sectlon 117385-SOG that trea
<br />waste shall register with enforcement agar (
<br />9. HSC Sec^lon 117900-3hall not haul r
<br />waste unless.re&.tered or obtalne-1 LQ'
<br />,sE.HSC Saclian 1172073 shall rat treat i,
<br />-wasta ,Aiftut perrrlt from v forcpasnent 8.g
<br />_7.HSG Sea to 11 7t7a-Carr.r1 Wn Star c
<br />facRlty shall be reglsterad with loczl anion~ a
<br />agency.
<br />Procedures
<br />_8.FtSC•Sectlan 11T935• .G Nfir�fMF
<br />a.HSC Sectlen 117943-•SQG Shall k:es
<br />records for 3 years,
<br />1 O.HSC Section 917 945 GOG Tact rgui
<br />11HSC'S wEan 117£50-LQG shall iiia
<br />I i4t1/dP wit) enfovement agency.
<br />} 2.HSC Se don 117995-41G shall kevi
<br />j records far 3 years.
<br />p Trantpottaltior
<br />—, 3. HS Section 118031,-110HE aprl-FW11
<br />TreatOttent!Stcra e
<br />14ASC Secifan 318135,,;9,21; 3hta 7: 3
<br />permit from tha e.rtfar'cernaN agency to ;Te.li
<br />medlcel v+rasto 200 { the wa t-
<br />15 -HSC Section 118765 -All treatm5nf
<br />mcgrds shall be kspt A�;, a yE arc.
<br />16.HSC SeG1 , 115 1, U medirul M.:
<br />Shat: be treatsd pursuant to this BeGuon.
<br />17.HSCSe;6osl s1i' G f ecogni�ahie
<br />human anatornic,4 parts shall r?ti dispowd c
<br />intErrnent ImleM others Ise, hazardwaua.
<br />_1Q.HSG Seo#an 1182225 -'heated shams
<br />ba aatroyed or somehow pre4'en, pa_rbtic z ,
<br />•X19.1-1SC SeG`dan I i 827.j4AW red, !Jags, 1
<br />chemo shat t;e iabaie3 p-'4,j-gr3y.
<br />_20.1HSC: Sedan 116L)0 I-,V,qV' la�iil & czq
<br />_21.hSC :gars 11 a289 -Sharps iabeVc t
<br />22.HSC ti'triirr, 1: 9 S'ti'a°9c Pm^ per d,( C;t n u
<br />23.1-13C Secfn 11;:,,i tk•E,rc;csc!r y lnt+.r
<br />�r.'f+��s a8r`�''3i ti 1'a Li`r•Ilt 'n:•ari:"Ot i 4�U,$R3 :�
<br />�,25.�'i5tr CsC;ivn tfiC3i;-Ar:p�Gtled taiGt';
<br />baa used.
<br />,„,26. In r ar t3tl fe.
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<br />SAN JOAQUIN COUNTY
<br />ENVIRONMENTId- HEALTH DEPARTMENT
<br />304 E. Weber Ave., 1-hird zleor, Stockton, CA 95202
<br />(209} 41i8-3420
<br />MEDICAL WA!3TE INSPECTION FORM
<br />Date -t D
<br />Recordip c�c�
<br />Prog Eiem_z e
<br />(4Cffq,_l-aci1Ity Address sw
<br />�Er}►/t�e�.,Title nPFtone #_f�iag--ta
<br />utine ❑Complaint GReinspectior
<br />V OLA •ION(S)
<br />� ITEMS E3ECDW REPRESENT VIOLATIONS OF THE CALIFORNI
<br />HEALTH & SAFETY CODE (HSC):
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