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U-, v",c Q"•!^! SAN JOAQUIN COUNTY DateEN RONMENTAL HEALTH DEPARTME PR :X36 151 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName bQ ver, _ ;r2� FacilityAddress i 4-1 t-luvn 1-.ot.4 c--- <br /> FacilityContact Lb e� xv Phone# S 3 q--258.ZS <br /> INSPECTION TYPE: Pftutine ❑Complaint ❑Re-inspection <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 of <br /> medical waste. - i. Jj <br /> _2.HSC Section 117903-Permit from the <br /> MCA- <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall l <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 /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage I � � 1` z�- <br /> facility shall be registered with local enforcement V1 zf <br /> agency. <br /> Procedures <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 MWMP +_ <br /> With enforcement agency. T � <br /> _12.HSC Section 117975-LQG shall keep CA <br /> d rS <br /> records for 3 years. _ <br /> Transportation r <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit l <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. VL rt7y <br /> _16.HSC Section 118215-All medical waste J yL <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. t <br /> _18.HSC Section 118225-Treated sharps shall ���\ <br /> be destroyed or somehow prevent public access. �'A�<<��� ��— Jf�f^ G e4i 14 1 IV <br /> _L-39.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 Section 118222-Incineration Required I r nature R c ' ed By Date <br /> 29 Other-Describe in narrative. <br />