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SAN JOAQUIN COUNTY Date LlX1 I Ig <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0 S; UP <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Name Coy en f L,'�LICFacifityAddress—jQa <br /> FacilityContactAjld�orik �11-vekp�� T, _Title_D,5 Phone C, I_-M XJ, <br /> INSPECTION TYPE: KRoutine EiComplaint oRe-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. lit-1160 - -T mu�;kv 1A)fjs+0' <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical <br /> waste. <br /> —3.HSG Section 117890-No large LQG shall ("10erckk10 r) L4,'eti 4W cowrs)'P ov)c� iiptWh <br /> generate medical waste unless registered with the I <br /> enforcement agency. 0,% 1 I-A QOA A P A� iA,�fA <br /> —4.HSC Section 117895-SQG that treats med cooq � A 'LA11*111A- <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 1117903-Shall not treat med 'T" Lusr-A cne�A4 tv C, c--r,s 1,01$ 1 A AAS <br /> waste without permit from enforcement agency. <br /> 7.HSC Section 117908-common Storage rAcA <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures :L'rL'L rcrAlrk� 'A)C4 <br /> 8.HSC Section 117936-SQG MVVMP hYiuilef <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> 10.HSC Section 117945-SQG not required to <br /> TeTister shall keep records for 2 years. 3 r , A+j 1A,C�(A'—,K' r. (A jvel <br /> \6IMSC Section 117960-LQG shall file MWMP <br /> Vi henforcement agency. <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation in rcxuoLs "UAAAfr A 41NA <br /> 13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a pen-nit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> —1 5.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. <br /> --I 8.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> -- 19.HSC Section 118276-MW red bags,path, <br /> chemo shall be labeled properly. <br /> 20.HSC Section 118280-MW label&contain <br /> —21.HSC Section 118285-Sharps labelfcontaln <br /> 22.HSC Section 118295-Properdecon used. <br /> —23.HSC Section 118307-Interim storage labeled <br /> —24.HSC Section 118310-Enciosure labeled. <br /> 25.HSC Section 118305-Cannot reuse drums <br /> 26.HSC Section 117630-Approved biohazard <br /> bag used. lc <br /> —27.HSC Section 118275(g)-Pharm label/store <br /> L?S C <br /> —28.HSC Section 118222-Incineration Required Inst for Signature Received BU Date <br /> 29 Other-Describe in narrative. <br />