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o�qU"! <br /> SAN JOAQUIN COUNTY Date 9-11,..t <br /> '' °G ENVIRONMENTAL <br /> iENVIRONMENTAL HEALTH DEPARTMENT PR 151 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> cgclip MEDICAL WASTE INSPECTION FORM <br /> FacllityName0eA,3vA I grre, crik FacilityAddress 1_'5� <br /> FacilityContact -&b Title OK.�� rn Phone# ZZq- <br /> INSPECTION <br /> ywe- <br /> INSPECTION TYPE: Moutine []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 <br /> enforcement agency required to treat medical a <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 <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 /> THSC Section 117908-Common Storage LA 14r2l <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures 4v 'SLA.0 Ll _101-3- zv%- wVv�,-k 4k iliainL;,L <br /> —8.HSC Section 117935-SQG MWMP 1� <br /> —9.HSC Section 11 7943-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. xi <br /> I 1.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> _)L1 2.HSC Section 11 7975-LQG shall keep <br /> records for 3 years. <br /> &C2 &4- <br /> Transportation oele wimill-T- <br /> -13.HSC Section 11 8030-LQHE application. I <br /> Treatment/Storage ei[J%= <br /> —14.HSC Section 118135-Shall obtain a permit Ld 7-11, e>L) .%'4 A Lk.&=A h:— a Laae=. <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. it 1Z41�an <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 Ayl <br /> anatomical parts shall be disposed of by interment <br /> '1i to <br /> unless otherwise hazardous. 4*v r <br /> 18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> 19.HSC Section 118275-MW red bag cx '74 <br /> chemo shall be labeled properly. fv-e- <br /> .]lL20.HSC Section 118280-MW label&contain Ciao-c-­4 -7 <br /> _21.HSC Section 118285-Sharps label/contain <br /> 22.HSC Section 118295-Proper decon used. Apm%,-Y-z. ,477, e- Cf <br /> 23.HSC Section 118307-interim storage labeled VdLL4 <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 /> --X, _27,HSC Section 118275(g)-Pharm label/store e1w <br /> —28.HSC Section 118222-Incineration Required <br /> 29 Other-Describe in narrative. /Signature Rece& y Date <br /> F� <br /> V'�- a.- <br />