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Date � `� <br /> rRecord I `fSp 1 13_3- <br /> Prog Elem3n <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 _Q _ dub i Ljr-uME Facility Address l(9O( (f 4n,--7z,-J+W-\ Aye ____ <br /> *-I <br /> Facility Contact "��tZ,A �. �7 Title 5r.��lo I e 4-e. Phone <br /> INSPECTION TYPE: Wtoutine ❑Complaint ❑Reinspection <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 <br /> waste., <br /> _3.HSC Section 117890-No large LQG shall Pu <br /> generate medical waste unless registered with / <br /> the 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 /> 6.HSC Section 117903-Shall not treat med 044 24 411-0, <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 a� <br /> _9.HSC Section 117943-SQG Shall keep ' <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to , J <br /> register shall keep records for 2 years. 1 <br /> _11.HSC Section 117960-LQG shall file <br /> MWMP 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. -—15.HSC Section 118765-All treatment <br /> re r 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 /> h—uman anatomical parts shall be disposed of by <br /> interment unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall <br /> b 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 118310-Endosure 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. <br /> In pect r Signat re Received By <br />