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Harprit S. Mattu [EH] <br />From: Harprit S. Mattu [EH] <br />Sent: Tuesday, March 15, 2016 2:12 PM <br />To:'pgross@winecountrycarecenter.com' <br />Subject: Medical Waste Inspection <br />Attachments: Medical Waste Management Plan Updated Final.pdf; Medical Waste Management Plan <br />Updated Final.doc; 20160314144239984.pdf; 20160314150006763.pdf; <br />20160315134622215.pdf <br />Hi Paul, <br />I just wanted to bring a few things to your attention. When looking at your medical waste treatment records from <br />Barnett, at the very bottom there is a "certificate of destruction incineration" line and a "certification of destruction <br />autoclave" line below it. Biohazardous waste does not have to be incinerated, it can be treated by steam <br />sterilization. Pharmaceutical waste must be incinerated. On the medical waste treatment records, signatures are <br />present for all autoclaved waste, but no signatures are present for waste that was incinerated. At the top of the <br />treatment document, the hauler will check off the box of an alternate treatment facility when pharmaceutical waste is <br />picked up. This is to designate that the pharmaceutical waste will go to a different facility for incineration. The only <br />issue with the treatment records is that none have a signature certifying incineration when pharmaceutical waste was <br />picked up. Please discuss with your hauler. <br />The other item I wanted to discuss is the Medical Waste Management Plan (MWMP). I cannot find any emails that I sent <br />regarding the MWMP so I apologize for that. I normally email everyone a Template which I have attached to this <br />email. you do not have to use this template. Most people like to use the template because if every question is <br />answered, all of the requirements of MWMP listed in the regulations are met. The items that your plan are missing are <br />Section 117960 (h), and (k). The section (h) in your plan meets the requirements of section (i) in the regulations. If you <br />need a sample statement that will meet section (k) refer to the MWMP template attached. Also, please sign the plan <br />when completed. <br />If you have any questions or concerns, you can respond to this email, or call me at 209-468-3284, and I will get back to <br />you as soon as possible. <br />Thank you, <br />Harprit S. Mattu <br />San Joaquin County <br />Environmental Health Department <br />1868 E. Hazelton Ave. <br />Stockton, CA 95205-6232 <br />Voice: (209) 468-3284 <br />Email: hmattu@iLcehd.com <br />