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• <br />• <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 />Date " l <br />Record ID 5 <br />Prog Elern 45.E <br />Facility Name0h/-AT-c-o- Facility Address! 2 z) <br />Facility Contacts r �, <br />TitlePhone # <br />INSPECTION TYPE: IRRoutine ❑Complaint ❑Reinspection I <br />VIOLATION(S) <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 <br />,�/� 1 �!" I I 1 1�3I v - 7 � /tL� ) i'2�L. 1`� t�l`2 `--x-(NI <br />b I � A - L <br />of medical waste. <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />waste. <br />� <br />- - i cC - d <br />_3. HSC Section 117890 -No large LQG shall <br />i+ I t) 1 I .n t' Yl �?(� 1� ,1 (i r e rf i fi -t",C- :6, T� <br />generate medical waste unless registered with <br />the enforcement agency. <br />ILA4�� i <br />L <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 /># I H 10 A 1,kjckrLt V^ka A f C U' _ cC�:Z 4L <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />Z c c i <br />14 <br />facilit shall be registered with local enforcement <br />g <br />agency. <br />agency. <br />Procedures <br />C <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 />MW MP with enforcement agency. <br />E,/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 11 8765 -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 />hum_an 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 />HSC Section 118295 -Proper decon used. <br />Z232. <br />.HSC Section 118310 -Enclosure labeled. <br />_24.HSC Section 118305 -Cannot reuse drums <br />_25.HSC Section 117630 -Approved biohazard <br />bag used. <br />26. Other -Describe in narrative. <br />LjLr-�Y - <br />Ins ecto Signat re eiv y <br />