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SAN JOAQUIN COUNTY 0 Date (Z <br />ENVIRONMENTAL EALT EPA T T PR ()4!Sol('7 <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />F cifi e <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />Generator shall register with the enforcement <br />` r kk�\ <br />_FadfityAddress <br />i cvbel+oA AVe - <br />acifi C tact <br />v,; t\Q- jak, <br />Vales`, W\mr` <br />itt 5yp % R-� <br />�o) \ 1u "3u 11 <br />_3. <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 />_6.HSC Section 117903 -Shall not treat med <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />be-" L , G +� <br />4y,S� <br />11 <br />d'1vt 0\1 r (AnA Co ' n <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. HSC Section 117903 -Permit from the <br />enforcement agency required to treat medical <br />v,; t\Q- jak, <br />r , , <br />1 `C Us U' W 1 n <br />waste. <br />HSC Section 117890 -No large LOG shall <br />(A�, hi J(\Zr �k <br />_3. <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 />_6.HSC Section 117903 -Shall not treat med <br />waste without permit from enforcement agency. <br />_7.HSC Section 117908 -Common Storage <br />be-" L , G +� <br />4y,S� <br />11 <br />d'1vt 0\1 r (AnA Co ' n <br />' <br />� <br />r <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 />' <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 />a twc ;� f vJta c.�c1� <br />_13. HSC Section 118030-LQHE application. <br />Treatrnent/St®rage <br />1 (c p W <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medical <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 11821 5 -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 />hemo 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 />(�'� <br />C <br />27.HSC Section 118275(g)-Pharm label/store <br />InSp ctor Signature C ved D to <br />Z /� <br />mo <br />_28.HSC Section 118222 -Incineration Required <br />_29 Other -Describe in narrative. <br />