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SAN JOAQUIN COUNTY Date 10125113 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0S26531 <br /> -A 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> .. ...... . <br /> iP 0 MEDICAL WASTE INSPECTION FORM <br /> FacilityName-j <br /> Sj-gat�- &k kWUe� .FacilityAddress 102DN- <br /> I <br /> FacilityContact elAQr-(- Title AArn"n4whr -- -Phone 4-q6R:).qU0-.53L4) <br /> INSPECTION TYPE: 911outine ElComplaint 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 /> �E—enerator 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 l <br /> Ad,LIA i "kl- M pf'm <br /> enforcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. 11 <br /> —4.HSC Section 117895-SQG that treats med <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 Uu Is VS1123r*-41'4 b A'-i�VJL <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep X 4kkk\'A Jigs I la))IL' <br /> records for 3 years. <br /> —10.HSG Section 117945-SQG not required to <br /> Irepster shall keep records for 2 years. <br /> 1I.HSG Section 11 7960-LQG shall file MWMP AAc <br /> with enforcement agency. leu <br /> —12.HSC Section 117975-LQG shall keep v)ICA CA-)"1XIN 6A(-CILI(a UTU <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 118030-LQHE application. \j <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> 15.HSG Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 11821 5-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 /> 18.HSC Section 118225-Treated sharps shall <br /> bedestroyedor 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 /> 24.HSC Section 118310-Enclosure labeled. <br /> —25.HSC Section 118305-Cannot reuse drums <br /> 26.HSC Section 117630-Approved biohazard <br /> bag used. to 127113 <br /> —27.HSC Section 118275(g)-Pharm label/store <br /> P <br /> 28.HSC Section 118222-incineration Required Insp Signature BDate <br /> 29 Other-Describe in narrative. <br />