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SAN JOAQUIN COUNTY Date (),tj4,Z aoil <br />EN IRONMENTAL HEALTH DEPARTMER PR L1 <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName t;,), 44 br ,4aVVdl � rs �1� �� FacilityAddress <br />FacilityContact t'(. 4-) rc. i ,-m c,_ Title A.' tm. �r-' n cwv. (!I— Phone# elpLiz -7 -nk5-,,2, <br />I INSPECTION TYPE: []Routine []Complaint []Re -inspection <br />VIOLATION(S) <br />Registration <br />_ 1. HSC Section 117955 -Large Quantity <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. <br />HSC Section 117903 -Permit from the <br />ate, <br />_2. <br />enforcement agency required to treat medical <br />waste.rr <br />_3. HSC Section 117890 -No large LQG shall <br />1 c l <br />^n Gc,A OL C)OVx - i)5'1Z71< `rD "i-'YZt YLS <br />' <br />generate medical waste unless registered with the <br />enforcement agency. <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 />�� ,�,�.. l n ���ir c� 1 M <�i? ✓ rV1P r Z)'n <br />waste unless registered or obtained LQHE. <br />Section 117903 -Shall not treat med <br />_7) P V -I �' yl �t1Y 11 n VI rY <br />6 cl <br />_6.HSC <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 <br />Y- <br />Section 117935-SQG MWMP <br />_8.14SC <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 />/ pr <br />f J— A%17- <br />_11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportationrrrtnz� <br />c�rc_Z�mry✓1;�i�^� <br />_13. HSC Section 118030-LQHE application. <br />TreatmentiStorage <br />�'��=`=� ': t2 ��' TVI i <br />Section 118135 -Shall obtain a permit <br />c' <br />_14.HSC <br />Tom the enforcement agency to treat medical <br />o prior to treating the waste. <br />5Section 118765 -All treatment records <br />1HSC <br />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 />_5�23.1­11SC Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />Section 118305 -Cannot reuse drums <br />_25.HSC <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />_27.HSC Section 118275(g)-Pharm label/store'/ <br />_28.HSC Section 118222 -Incineration RequiredI <br />r i ture D to <br />29 Other -Describe in narrative. <br />FX—' -r3, <br />