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MEDICAL WAST&SPECTION REPORT � \ Date: ► oZ I a O I I q San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: ?R 0 X150005 (209)468-3420 Program www.seogy.org/ehd Element: Facility Name Address City Zip Code SJ General Hospital 500 w hospital rd. French Camp 95231 Facility Contact Title Phone Number Email Inspection Type Paul Martinez Housekeeping Director 209-468-6998 Routine The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). r 6- a AM ilk - — E.,e HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall ❑ 1' registered with the EA. 17 be permitted by the EA. ❑ HSC 117950-LQG shall register with the EA prior to 2. ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. generating medical waste. HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to ❑ 3' medical waste. ❑ 19' this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4' register with the EA. ❑ 20. disposed of by interment, incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this El 6' issured by the EA. El 22. section. - -- � HSC 117890-LQG shall notify EA 72 hours prior to ❑ 7' participating in temporary event. HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth El 8' Participating in temporary event. ® 23. in this section. HSC 118275-Medical, biohazardous,sharps,trace chemo, 24 pathology,or pharmaceutical waste shall be segregated and t k� 7IM, lIMi . contained pursuant to this section. The container shall be properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored El 10. treatment and shipping and tracking records for 3 years. ® 26. pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated ❑ 11. information document and transportation records for 3 years. El 27. pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical El 12. HSC 117960 LQG shall file MWMP with the EA. El 28. waste shall not be used for other storage. HSC 117975-LQG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and El 13. tracking documents for 2 years. ® 29' marked with proper signage. mi = HSC 118310-Designated accumulation area shall be secured atrort, T ® 30. TF and marked with proper signage. El14. HSC 117946-MOT exemption requirements for SQG. i�� r �� $ oiIN ❑ 15. HSC 117976-MOT exemption requirements for LQG. ® 31. 8 CCR§5193-Prohibited Activities ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption.1 ❑ 32. Received by: Print: Paul Martinez Signature: GMA,t L LD Phone:209-468-6998 Specialist: Print: Sandip Singh Signature: Phone:Phone: 209-468-3526 Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 4 EH-11/17