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0 <br />0 <br />SAN JOAQUIN COUNTY Dated I _ <br />ENVIRONMENTAL HEALTH DEPARTMENT PR ou5oll`Z_ <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName Sic ?%A�\I c. \� e,4 , FacilityAd rens W01 E_ Ave. <br />Ll; 'tx, kAbA 3u 6 <br />FacilityContact ®iunc. S31,AA\ � - KakA vgx, Title Su . 'n_ ', �._tj, PhoneAaoA1 Gb8 <br />--e.:.. <br />■ - . ■' ' - 1 <br />=Wt <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 generation of <br />medical waste. <br />_2. NSC Section 117903 -Permit from the <br />' 1 <br />® 1t ' � l'®^� �� � A 1 A <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />N,L�, ;Si q LLLtn+U� '7 G} l Si Te*A <br />vl <br />generate medical waste unless registered with the <br />enforcement agency. <br />U SoJ1 <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 />q yy_kA) -Sip <br />Section 117903 -Shall not treat med <br />_6.HSC <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 />3 I Lis <br />J 1 — <br />b C u,U, Y _ <br />_8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years.LLIL <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />_11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />_12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />' 7 M, <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <br />n , <br />waste prior to treating the waste. <br />_15.HSC Section 118765 -All treatment records <br />shall be kept for 3 years. <br />_16.HSC Section 11 8215 -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 />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 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.. <br />_27.HSC Section 118275(g)-Pharm label/store <br />l� <br />a 112-3 <br />` G` <br />s28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />InspE@tor Signature yRceived By fat <br />