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' a MEDICAL WAST&SPECTION REPORT41 Date: 10/19 /1 -5 San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: Q,2 Q !t 4 So I I Z (209)468-3420 Program c"<%F6 F, www.s*oqv.org/ehd 9 Element: 4.S so Facility Name Address City Zip Code Delta Blood Bank 65 n.commerce st. Stockton 95202 Facility Contact Title Phone Number Email Inspection Type Elayda Podesta Director of Quality and 209-943-3830 elaydap@deltablo Routine Compliance odbank.org The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment HSC 117890-No LOG shall generate medical waste unless El HSC 118130-All onsite medical waste treatment facilities shall 1' registered with the EA. 17' be permitted by the EA. HSC 117950-LOG shall register with the EA prior to 2' generating medical waste. [_118. HSC 118165-All treatment records shall be kept for 3 years. ❑ HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to 3' medical waste. ❑ 19' this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be 4' register with the EA. ❑ 20, disposed of by interment,incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. ❑ HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this 6' issured by the EA. ❑ 22' section. 7 HSC 117890-LOG shall notify EA 72 hours prior to Containment/Storage participating in temporary event. HSC 117895-SQG shall notify EA 72 hours prior toHSC 117630-Biohazard bag shall meet the standards set forth El8. participatingin temporary event. ® 23. in this section. HSC 118275-Medical,biohazardous,sharps,trace chemo, Records/Documentation ❑ 24 pathology,or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properlylabeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored El 10. 26.treatment and shipping and tracking records for 3 years. ❑ pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated El 11. information document and transportation records for 3 years. El 27. pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical ® 12. HSC 117960-LQG shall file MWMP with the EA. El 28. waste shall not be used for other storage. ® HSC 117975-LOG shall maintain treatment and shipping and 29HSC 118307- Intermediate storage area shall be secured and 13. tracking documents for 2 years. ❑ . marked with proper signage. Transportation ❑ 30. HSC 118310-Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other ❑ 15. HSC 117976-MOT exemption requirements for LOG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: Ela da H.Podesta Signature: f` Phone:209-943-3830 Specialist: Print: Har rit Mattu,Sr REHS Signature: Phone: 209)468-3284 Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 EH-08/2015