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Aqurry SAN JOAQUIN COUNTY Date 1-1.6-1 <br /> 2'® cQ2 ENVIRONMENTAL HEALTH DEPARTME PR , al <br /> { 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName a: cM_F cili Address _ 1-41 <br /> FacilityContac &6jo 6,-� Titley® Phone# 3s-q- <br /> INSPECTION TYPE: MRoutine ❑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. <br /> _2.HSC Section 117903-Permit from the '� ill• '�� <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG 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 <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. Ava <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. 2-1 11 I .2 � <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. <br /> 7C12.HSC Section 117975-LQG shall keep 1 <br /> records for 3 years. l <br /> Transportation <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. C;" - <br /> 15.HSC Section 118765-All treatment records ---1t 1 <br /> s—hall be kept for 3 years. , e. r <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human G tau j w -7 <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. CIL, l <br /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. Z' <br /> _19.HSC Section 118275-MW red bags,path, i Z <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. O/ <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required I "epfignature Rec I d By Date <br /> 29 Other-Describe in narrative. <br />