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6,71 <br />r <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Date(` <br />Record ID�,�f <br />Prog Elem `tS3C�, <br />Facility Namel�Al Facility Address_ Z -2 -)GO �J. C d;rnc6 st73aDd5joNn <br />Facility Contact_ _ A CA&I / e"CL'.r:rD Title-r'n ba -'re Tei t.Phone # 2`f 5!f?>S- <br />INSPECTION TYPE: routine DComplaint ❑Reinspection 1 <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />HEALTH & SAFETY CODE (HSC): <br />agency prior to commencement of the <br />_generation <br />of medical waste. <br />_2. HSC Section 117903 -Permit from the <br />0 <br />enforcement agency required to treat medical1 <br />waste.,/� <br />_3. HSC Section 117890 -No large LQG shall <br />(n.,� �� .i 1 �� [Zan cr. cLs4 CrS i �D L rim/ <br />i Mn (� (7.Z� Otte <br />generate medical waste unless registered with' <br />the enforcement agency. <br />_4. HSC Section 117895-SQG that treats med <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shalt not haul med <br />i 5 Cb➢ P CR rP <br />waste unless registered or obtained LQHE. <br />6.HSC Section 117903 -Shall not treat med <br />YYII��Ic �oS S/X7�b(v(oil <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />© ce <br />Cj <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 <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />re ster shall keep records for 2 years. <br />11.HSC Section 117960 -LOG shall file <br />MWMP with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />_13. HSC Section 118030-LQHE application. <br />TreatmentlStorage , <br />_14.HSC Section 118135 -Shall obtain a <br />permit from the enforcement agency to treat <br />meplical waste prior to treating the waste. <br />15.HSC Section 118765 -All treatment <br />records 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 <br />human anatomical parts shall be disposed of by <br />Interment 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 118310 -Enclosure labeled. <br />_24.HSC Section 118305 -Cannot reuse drums <br />_25.HSC Section 117630 -Approved biohazard <br />bag used. <br />___.26. Other -Describe in narrative. <br />Inspector ignatu a ReX6NvBy <br />