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• SAN JOAQUIN COUNTY • Date E I 3 ,//cam <br />ENVIRONMENTAL HEALTH DEPARTMENT PR ­9'<oa <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName 6-cjk1ar► CeyiAcr FacilityAddress 190 1 R«►mcaIt'& J tiA h b <br />FacilityContact (�,+ViU,A. Title6��4-I`z �:� �-Phone# 417'7-v?G6�1 <br />INSPECTION TYPE: Egoutine <br />❑Complaint ❑Re -inspection <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 of <br />medical waste.���) <br />, � / <br />_2. HSC Section 117903 -Permit from the <br />^�� <br />Llr ' `I , f ��'' i LGA ( t r, rnr°. Q�IE'✓1. T <br />r x�A f-4— t VIr _A 4r e-) 1 > VnM I V lel YI <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />1 "" <br />generate medical waste unless registered with the <br />enforcement agency. <br />It . rr� r��P✓ .� _ a2D� /� <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 />Section 117903 -Shall not treat med <br />? L <br />_6.HSC <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />L ee)17 '1-', e �� `� �x �' W <br />'° p 1��• 1(YjG rl rY I �Z VTr) �ie/nc'e 1 <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />;7J I"? -,1 i�� 111:� i,��� I� I fT� <br />I <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />'] L <br />_10.HSC Section 117945-SQG not required to <br />Mre ter shall keep records for 2 years. <br />I <br />f <br />9 11.HSC Section 117960-LQG shall file MWMP <br />wit enforcement agency. <br />_ <br />212.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />Z_ 4 . :2 <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <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 />_15.HSC Section 118765 -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 />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 118307 -Interim storage labeled <br />_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 />—_28.HSC <br />3� , <br />In p for i nature Received By Date <br />Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />[w <br />