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Alkh <br /> ®PaU! , cc SAN JOAQUIN COUNTY 4P Date <br /> c ENVIRONMENTAL HEALTH DEPARTMENT PR 6 ,91pA <br /> �-� 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> �ACpFORe;`P MEDICAL WASTE INSPECTION FORM <br /> FacilityName� w`ua (,w% koe. b-FacilityAddress 1'C3M kn; rA-cr pr- <br /> FacilityContact CAW,A SA11s Title b;sa4�y off' �6hone# 05r) 5 <br /> INSPECTION TYPE: outine ❑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. �S_ 1, {� }._, It I u•• <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical c, q jciA mvAS- u(pT i <br /> waste. ® . <br /> _3.HSC Section 117890-No large LOG shall <br /> generate medical waste unless registered with the co M7 <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med i c i S <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. y UAL <br /> _6.HSC Section 117903-Shall not treat med 'n <br /> waste without permit from enforcement agency. 1 S r v <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement '1 113w, <br /> agency. <br /> Procedures ,�S }, t <br /> 8.HSC Section 117935-SQG MWMP S <br /> _9.HSC Section 117943-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. a 1 <br /> _11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. N 11 �n <br /> _12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation M <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a permit LS <br /> from the enforcement agency to treat medical a <br /> waste prior to treating the waste. SAL) <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste Scµ kook } U 1 C <br /> shall be treated pursuant to this section. t <br /> _17.HSC Section 118220-Recognizable human nJ -1 SCA <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. AXIS, <br /> 18.HSC Section 118225-Treated sharps shall „� U 1 1 15 <br /> be_destroyed or somehow prevent public access. <br /> _19.HSC Section 118275-MW red bags,path, } ® <br /> chemo shall be labeled properly. 1 � <br /> _20.HSC Section 118280-MW label&contain u— J a <br /> _21.HSC Section 118285-Sharps label/contain J I D <br /> _22.HSC Section 118295-Proper decon used. 1 <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. F:::OA <br /> _27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Inspe r Signature Received B Date <br /> 29 Other-Describe in narrative. <br /> PA �E <br />