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Date <br /> Record D <br /> Prog Elem ktr Z? <br /> SAN JOAQUIN COUNTY <br /> ENVI ZONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name Facility Address 600 <br /> Facility Contact "ice Titled s -�lm�g I�.�•P Phone -o- <br /> INSPECTION TYPE: Aoutine DComplaint DReinspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> _1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation <br /> of medical waste. CetlPr-1'f' all =Qwrt7ti 1`�r1 I�_ar--t-S <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. e 6 <br /> _3.HSC Section 117890-No large LOG shall <br /> generate medical waste unless registered with �* <br /> the enforcement agency. a. , r - <br /> _4.HSC Section 117895-SQG that treats med I I'll, <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. ` t O <br /> _7.HSC Section 117908-Common Storage , <br /> facility shall be registered with local enforcement •' <br /> , <br /> agency. <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> 10.HSC Section 117945-SQG not required to <br /> regOler shall keep records for 2 years. <br /> 1.HSC Section 117960-LQG shall file <br /> MWMP with enforcement agency. <br /> _12.HSC Section 117975-LOG shall keep <br /> records for 3 years. <br /> Transportation <br /> 13.HSC Section 118030-LQHE application. <br /> T— <br /> reatment/Storage <br /> _14.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat <br /> medical waste Prior to treating the waste. <br /> _15.HSC Section 118765-All treatment <br /> records 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 <br /> human anatomical parts shall be disposed of by <br /> interment 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.HSC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. <br /> 23.HSC Section 118310-Enclosure labeled. " <br /> _24.HSC Section 118305-Cannot reuse drums ;d <br /> _25.HSC Section 117630-Approved biohazard t '/� <br /> bag used. <br /> —26.Other-Describe in narrative. 41ns;p ;Signat re Received By <br />