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DaleDSS <br /> • r Record 1 �f She <br /> Prog Elem ±FS_ <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 Named 1� �s +-(-�( Facility Address K.CjY <br /> Facility Contact f,±Z.te- Tn Title 6—t, CoS ( *Phone # !-tej- LH'42 <br /> INSPECTION TYPE: pbLoutine ❑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. 2Lo r-�gy�La I�L� � "�0t,-eA • <br /> 2.HSC Section 117903-Permit from the T- <br /> enforcement_ ,rfi <br /> agency required to treat medical `�h n,,�r 'Aa ce« cn�D 1), 9Cit SA�p _he-4 n4 ba,-\,4 to <br /> waste., I r <br /> _3.HSC Section 117890-No large LQG shall 4- A l A2O5� - n rno,✓1 . .. __ <br /> generate medical waste unless registered with <br /> the enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med fes`1( `�;c?r �� moo✓ C l c�{-0 t S'-t�c�- � rmS i , <br /> waste shall register with enforcement agency. - - , <br /> _5.HSC Section 117900-Shall not haul med r AN-, /aC4 n 'a�eLf t.e_ Q AA �e) 4Q� . 1 n t n LA.,4e�J. <br /> waste unless registered or obtained LQHE. q --"rte` <br /> 6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. C <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. - <br /> Procedures 1�,�O Viola `en S qQf 2!j 6:Li,—," CIL ' Sa!:l A Oy► <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 /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LQG shall file <br /> MWMP with enforcement agency. <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 /> _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 /> - <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 biohazard <br /> Fag used. <br /> —26.Other-Describe in narrative. � <br /> 41s pe ignatu a Received By <br />