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SAN JOAQUIN COUNTY 10 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName --'Z&cnelu' <br />1AD--Q1'G41 <br />- J an <br />it <br />FacilitvContact V,%ur <br />Lore CA( <br />i leo <br />V <br />Date 0 tZ ( M <br />PR ®%AS0005 <br />- K�1a <br />2o414b ti- <br />�_ Phone n„a 14u - <br />INSPECTION <br />ft• - ■ • • oRe-inspection <br />VIOLATION(S) <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 medicalt-�Xj- <br />r,5,P\. ianLa.2 V��ALfr-A n, aa<. Pi <br />rWA?bA1 ,4 it <br />waste. <br />HSC Section 117890 -No large LQG shall <br />` <br />i f'n L 3 LkI+- <br />_3. <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 />0 rl u > ' ' t.C� <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />n l <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 />�v ;n4/ - <br />- 11A) 10% ' CCA�lI kk i <br />_8.HSC Section 117935-SQG MWMPa <br />_9.HSC 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 />e 11 r11' L <br />t/� ) to <br />11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />Q� <br />r 1 <br />f ANA 1 <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 />" C <br />' 1 <br />`" V <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 />v <br />,t <br />_15.HSC Section 11 8765 -All treatment records <br />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 human <br />anatomical parts shall be disposed of by interment <br />; > <br />unless otherwise hazardous. <br />_18.HSC Section 118225 -Treated sharps shall <br />be destroyed or somehow prevent public access. <br />_19.HSC Section 118275 -MW red bags, path, <br />chemo shall be labeled properly. <br />_20.HSC Section 118280 -MW label & contain <br />_21.1-11SC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />23.HSC Section 118307 -Interim storage labeled <br />1�24.HSC Section 118310 -Enclosure labeled. <br />_25.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 />® _ „&CLiZ. i2 <br />r Signature Rece' ed B Da <br />_28.HSC Section 118222 -Incineration RequiredInspe <br />29 Other -Describe in narrative. <br />