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Date qb< <br /> Record I c.}z 6112 <br /> Prog Elem � <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 /> Facility Name 1 50ncLEk::L,x Facility Address <br /> Facility Contact Title rn,Ii Phone# <br /> INSPECTION TYPE: utine DComplaint DReinspection <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 <br /> of medical waste. <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical p e <br /> waste., <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with <br /> the enforcement agency. k 1121a b,() at13D' 12/2/0-1. 2 /64-\J':::(17 31J <br /> _4.HSC Section 117895-SQG that treats med -4- <br /> 4 <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 <br /> waste without permit from enforcement agency. <br /> 7._ HSC 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 <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> _11.HSC Section 117960-LOG shall file <br /> 7M MP <br /> 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 /> Treatment/Storage , <br /> _14.HSC Section 118135-Shall obtain a _ <br /> permit from the enforcement agency to treat <br /> medical 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 /> _23ASC 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. nsp for ignatur Received <br />