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SAN JOAQ IN COUNTY Date 5 --n 111 <br />"ENVIRONMENTAL HEALTH DEPARTME N PR <94SOMS <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityNameS-J. �cxsa\ ��\-uj ili Address 50� W. <br />FacilityContact n('>S- (bADINi le6U5v6wjr, ;reJot Phone# �O� <br />❑Complaint ❑Re -inspection <br />VIOL TIONS) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />m03 Uf ' �L 1 , <br />illQ lid, ' �pA; <br />l 1 <br />\ A� 4 (nCl� lw i r rs Ct,� Ao UCS w.-- �.. "TUJ <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />generate medical waste unless registered with the <br />enforcement agency. <br />i.f_ WLIS C -S <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 />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />1 YWI e <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />, a$b 'S L > - <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />s f �10 , <br />_8.HSC Section 117935-SQG MWMPC� <br />_9.HSC Section 117943-SQG Shall keep <br />Am <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />rAwCA <br />1 <br />r S uS�' o (: �. <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation` <br />® t� s� �- <br />Gt t <br />` 't)�l t <br />r i tie 1 b <br />IU <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />`� \ i <br />Tom the enforcement agency to treat medical <br />waste prior to treating the waste. <br />rn <br />15.HSC Section 118765 -All treatment records <br />s—hall be kept for 3 years. <br />_16.HSC Section 11821 5 -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 />b <br />u f of 3 <br />u <br />_18.HSC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />�vti Citi <br />_19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />-)14 20.HSC Section 118280 -MW label & contain <br />1�21.HSC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />_23.1-11SC Section 118307 -Interim storage labeled <br />Section 118310 -Enclosure labeled. <br />_24.HSC <br />425.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 />Insp for Signature Received By Date <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />