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SAN JOAQUIN COUNTY Date 7- <br /> 'Q�qurN co ENVIRONMENTAL HEALTH DEPARTMEIR PR f�=3&L ( <br /> < 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> qt/FOR�`PMEDICAL WASTE INSPECTION FORM <br /> FacilityName <br /> .1C� iftAddress J:gZ <br /> FacilityContact ,a itj,C2 Title dam, Jr6vv,,oPhone# S3cj-S3&57 <br /> INSPECTION TYPE: $8outine []Complaint olle-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. <br /> 2.HSC Section 117903-Permit from the JL 11-2 CAq —M L-1 <br /> enforcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LOG shall <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 0 14— A <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency' <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement :&74L Ch Mel AV tvka <br /> agency. <br /> Procedures 1,1 <br /> —8.HSC Section 117935-SQG MWMP A <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. rA LL <br /> -10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> —1 I.HSC Section 11 7960-LQG shall file MWMP -T VI C�TL <br /> with enforcement agency. <br /> -1 2.HSC Section 11 7975-LQG shall keep <br /> records for 3 years. <br /> VIA= Anyll sm A-T <br /> Transportation 9 <br /> —13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storageatt­ <br /> —14.HSC Section 118135-Shall obtain a permit <br /> From the enforcement agency to treat medical t <br /> waste prior to treating the waste. 0 eA)fd <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. Ve, Lr—r tj jA_ <br /> 18.HSC Section 118225-Treated sharps shall L <br /> be destroyed or somehow prevent public access. <br /> -1 9.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 118276(g)-Pharm label/store <br /> —28.HSC Section 118222-Incineration Required a or ignature Re&*ve"-&By Date <br /> 29 Other-Describe in narrative. <br />