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Date <br /> Record ID_45zao� <br /> Frog Elem q-q'2Z <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name '-It \oSgj;2h' �-15pd�j Facility Address k800 11 �' l; �r�► A .� c� , <br /> Facility Contact Title enJ Sc Mq Phone # <br /> INSPECTION TYPE: outine []Complaint ❑Reinspection <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. <br /> _2.HSC Section 117903-Permit from the �j _ <br /> enforcement agency required to treat medical 5 <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with <br /> the enforcement agency. �y <br /> ,4.HSC Section 117895-SQG that treats med lA? 0 SO Ian o <br /> waste shall register with enforcement agency. <br /> Ai <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 I <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 C eCl lLxw� <br /> _8.HSC Section 117935-SQG MW MP a.vim0. ��� Q <br /> nI .rv� C�rZo\ ��}� <br /> _9.HSC Section 117943-SQG Shall keep -• n t r=� o 0a <br /> records for 3 years. I;w +t-j o - AAAA ?;)e- �,r rP O Q!A-vY\0 J_ <br /> _10.HSC Section 117945-SQG not required to <br /> �ter shall keep records for 2 years. as ±C"a r'k'1 - r] �G�.r !;rv� t <br /> regi <br /> 1.HSC Section 117960-LQG shall file fd-k4 <br /> MW MP with enforcement agency. �����`�A <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation - to <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage , / <br /> _14.HSC Section 118135-Shall obtain a �,rpC-0-AA_'x-'LS 40 CZ¢�Tttrm -5'pS'1'rl'i- ( orS-Ir r-,rnc5�- �_jSL <br /> permit from the enforcement agency to treat _ <br /> medical waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment <br /> recd ds shall be kept for 3 years. <br /> re <br /> Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable 2� �jh�,.-0 c) �t Y1��o r a n�� <br /> h—uman anatomical parts shall be disposed of by --T' <br /> interment unless otherwise hazardous. <br /> _ Qn <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, 1-4 <br /> chemo shall be labeled properly. <br /> �ZO.HSC Section 118280-MW label&contain <br /> 21.HSC Section 118285-Sharps Iabelfcontain <br /> 22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118310-Enclosure labeled. <br /> _24.HSC Section 118305-Cannot reuse drums <br /> _25.HSC Section 117630-Approved biohazard41nspo <br /> bag used.26.Other-Describe in narrative. r giagat re Received By <br />