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'oPQUiN oo SAN JOAQUIN COUNTY Date 5 <br /> c ENVIRONMENTAL HEALTH DEPARTMENT PR 3 1 <br /> Z� 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName n� iQ 4ab FacilityAddress 1517 Dr. <br /> 13 FacilityContact U4 �'Is Title 'ec--os 6)-'AtaQe ® Phone# q5'7 <br /> �i �{ <br /> INSPECTION TYPE: Aoutine ❑Complaint ❑ e-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. t r�tJ e ��q cJl `� <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical `, c �( <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall S an S + L <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med 51 cJu i <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med b 5 <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. r� , r ` S <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcementU, <br /> agency. <br /> Procedures �t ti <br /> 8:HSC Section 117935-SQG MWMP 5 <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. t ti i s vl� ' C! <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. 9 ti C2 s(1 <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. }_ <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation Ll - rtZL o` r I,- i r n <br /> _13.HSC Section 118030-LQHE application. U <br /> Treatment/Storage �Iar&k (A-f\fx k(dl I A�v of 0(Icy :D(A,r <br /> _14.HSC Section 118135-Shall obtain a permit (D f <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. "cm u A S <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. S <br /> _16.HSC Section 118215-All medical waste �, s <br /> 1 C, 1 U2 011 1 <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 /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> _19.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 /> X'24.HSC Section 118310-Enclosure labeled. <br /> _25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard <br /> ag used. <br /> A 27.HSC Section 118275(g)-Pharm label/store 1 <br /> _28.HSC Section 118222-Incineration Required Inspe0or Signature Received B Date <br /> 29 Other-Describe in narrative. <br /> �� C <br />