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0 SAN JOAQIN COUNTY � <br />ENVIRONMENTAL LTH DEPARTMEIv'T <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date <br />PR OILS(3ooS <br />FadlityName c, oec'ecu 1 AAosa&j Facili A dress (JL04D L469 <br />(� - <br />FacilityContact PA's '!` A138ne- , Lo6 C TitlePhone#( blk)Wig%-5504 f,1� <br />INSPECTION TYPE: ARoultine []Complaint ❑Re -inspection <br />yKelwULGIZ101 <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 />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />L 1 <br />IND C7 ' WIJi i 1 Url �A?tii <br />® to Vi VP , u <br />generate medical waste unless registered with the <br />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 />f1�U3® U •• U ►,c S 6't rat �- C <br />n <br />; ' L t <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />3 a1LU ty 1�� nth Yi1 <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />(1 (% t e i rel 3 4f) <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />re aster shall keep records for 2 years. <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />tH S L 1 G <br />, n <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />, <br />'-' O,,rc..u&s jL e r' <br />13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />waste prior to treating the waste. <br />_15.HSC Section 118765 -All treatment records <br />shall be kept for 3 years.CAI <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 />_18.HSC Section 118225 -Treated sharps shall <br />f f C S ,(ice V <br />e, 1 Tl Gl. 0VD <br />'l S e n s_ o �; <br />1A <br />0to e A- j `T ' <br />` ' <br />y m inn O n (� <br />i1 <br />be destroyed or somehow prevent public access. <br />5111 3?7 NA QLf e L UC r ( <br />_19.HSC Section 118275 -MW red bags, path, <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 />rQ <br />to j c, (� uie S , t A ' ' ' <br />1 +,I -CN L <br />" lAt-A ' S t� .L C v -r 1 <br />1V i 1 <br />_7-23.HSC Section 118307 -Interim storage labeled <br />0� 24.HSC Section 118310 -Enclosure labeled. <br />P A'P CIA"Ov <br />_25.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />�K,27.HSC Section 118275(8)-Pharm label/store <br />Insp for Signature Re B Q4 to <br />_28.HSC Section 118222 -Incineration Required <br />_29 Other -Describe in narrative. <br />®d <br />% e 1 ®rvs® <br />