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SAN JOAQUIN COUNTY Date � 6011 <br />ENVIRONMENTAL HEALTH DEPARTMENT PR ®WS ®iM <br />1868 East Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityName <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. NSC Section 117955 -Large Quantity <br />Add _ <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />tPhone# (bon (Ab; -340 <br />VIOLATION(S) <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. NSC 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 />_2. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />I 11003"® (-a\( • PIA,c11 ` � L ttC � Usl azi <br />ji b <br />v <br />Sl! > e <br />Jv.,CJYta �nU ��1 <br />generate medical waste unless registered with the <br />enforcement agency. <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 />117903 -Shall not treat med <br />s <br />NUt <=SL �tnLt 8 �t G cc 11 n1 C,S <br />_6.HSCSection <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />tQ <br />Q 1St t lJl Ur1- <br />facility shall be registered with local enforcement <br />agency. <br />\j!& L�`� ° , S j ` ekabL J Ilcs® 4i <br />Procedures <br />a� "� (� �1r{ t� lc 01 M'(J <br />_8.HSC Sectlon 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 />l <br />3 m. {�, Q� ` -(j r .t1 <br />� l <I�M.S wV W+ ], � t)1'y� is _ <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 />�13. HSC Section 118030-LQHE application. <br />Treatment/Storage <br />e <br />� r � (G�1 a <br />U 1 ' <br />_14.HSC Section 118135 -Shall obtain a permit <br />Tom the enforcement agency to treat medical <br />waste prior to treating the waste. <br />_15.HSC Section 118765 -All treatment records <br />C 1 <br />S - J�P112 f n 1 . t S ftic'. l tAl J.) V�S�T, V)i!1'Vcr <br />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 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 />Section 118280 -MW label & contain <br />_20.HSC <br />_21.HSC Section 118285 -Sharps labelfcontain <br />_22.HSC Section 118295 -Proper decon used. <br />_23.HSC Section 118307 -Interim storage labeled <br />_24.HSC Section 118310 -Enclosure labeled. <br />Section 118305 -Cannot reuse drums <br />_25.HSC <br />_26.HSC Section 117630 -Approved biohazard <br />bag used. <br />_27.HSC Section 118275(g)-Pharm label/store <br />_28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />Insp for Signature Received By Dat <br />