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SAN JOAQUIN COUNTY Date ►d t r� <br />ENVIRONMENTAL LT E T PR O�15cx���_ <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacifityName ► + • n _ <br />Title )C_ coojd� Phone# <br />oComplaint EiRe-inspection <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste.; <br />1 <br />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />i <br />''p g t -,y c, , -`�11t� <br />waste. <br />3. HSC Section 117890 -No large LQG shall <br />0102ef , n 4. S t <br />generate medical waste unless registered with the <br />eo ; r <br />enforcement agency. <br />fir <br />_4. HSC Section 117895-SQG that treats med <br />tnNa'' <br />waste shall register with enforcement agency. <br />_5. HSC Section 117900 -Shall not haul med <br />waste unless registered or obtained LQHE. <br />1 1 <br />Section 117903 -Shall not treat med <br />J®�i �` otvle3 W, <br />_6.HSC <br />waste without permit from enforcement agency. <br />:4) '� <br />Section 117908 -Common Storage <br />_7.HSC <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />5l1 t%. 5 012211f), <br />8.1-11SC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />3 �AO'A 1 <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />ell L t& -r <br />11.HSC Section 117960-LQG shall file MWMP <br />t <br />wit enforcement agency. <br />S ofl <br />_12.HSC Section 117975-LQG shall keep <br />w o� g ' <br />fwA <br />records for 3 years. <br />'III <br />Transportation <br />W•, AS - <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />f <br />from the enforcement agency to treat medical <br />1 <br />waste prior to treating the waste. <br />Y11. WA6111b,C L '7+ <br />_15.HSC Section 118765 -All treatment records <br />. \ �'M h1 �g il� _ <br />(� } j`A 1 t <br />shall be kept for 3 years. <br />_16.HSC Section 118215 -All medical waste <br />Ij <br />shall be treated pursuant to this section. <br />4" ` Ly <br />_17.HSC Section 118220 -Recognizable human <br />, `% q t(y D -- kv i ►1RJ, C�Jl G S <br />ca 1k <br />anatomical parts shall be disposed of by intern— <br />unless otherwise hazardous. <br />Section 118225 -Treated sharps shall <br />Alz <br />be destroyed or somehow prevent public access. <br />be— <br />�� <br />_19.HSC Section 118275 -MW red bags, path,elk <br />it j <br />chemo shall be labeled properly. <br />X 20.HSC Section 118280 -MW label & contain <br />U p <br />_21.HSC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />_)�_23.1-11SC Section 118307 -Interim storage labeled <br />424.HSC Section 118310 -Enclosure labeled. <br />_25.HSC Section 118305 -Cannot reuse drums <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />- ' —) g <br />27.HSC Section 118275(g)-Pharm label/store <br />/ <br />_28.HSC Section 118222 -Incineration Required <br />Insp for Signature Received By Date <br />29 Other -Describe in narrative. <br />