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F Date CQ 2- <br />0 0 I0 Record ID—eiblalg 2 <br />Prog Elem 5.3 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />�0(9 vL-, T#if +floor; Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />Facility Name 7v I Facility Address 2 = SSryr\- Tac' <br />Facility Contact )_ &.( Q- Title SCZ N Z Phone # �I <br />INSPECTION TYPE: <br />DComplaint <br />VIOLATION(S) <br />❑Reinspection <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 On <br />waste, <br />_3. HSC Section 117890 -No large LQG shall el cc -o <br />generate medical waste unless registered with <br />the enforcement agency. �-k C)e n rY1� fin. -,i h <br />4. HSC Section 117895 SQG that treats med s 1 I \0-`-.-�w o �J L(.p <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 — ►Seo n'cI, r?ic�__ <br />waste without permit from enforcement agency. T— <br />_7.HSC Section 117908 -Common Storage <br />facility shall be registered with local enforcement _ <br />agency. 0 <br />Procedures �,\ S 'F <br />8.HSC Section 117935-SQG MWMP <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />—1 O.HSC Section 117945-SQG not required to <br />re ster shall keep records for 2 years. <br />11.HSC Section 11 7960 -LOG shall file <br />MWMP with enforcement agency. Q� �� `��� �1Q V- cca cP 1 Cc•5 <br />_1 dsfor Section 117975 LQG shall keep jn� , (�� r s.�Q -it 0 <br />records for 3 years. � � dl lP M t�tri r ���""'�"'_(' <br />Transportation t'lr'ri' -f-c c�, n , x-, I ^ ^`F 1-o Iaa <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage CD2;' <br />1 v-PC� a n ski CSI 1 7 Z �b� <br />_14.HSC Section 118135 -Shall obtain a <br />permit from the enforcement agency to treat <br />me ical waste prior to treating the waste. <br />-41 15.HSC Section 11 8765 -All treatment <br />rerds shall be kept for 3 years. <br />j16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this segtion. <br />_17.HSC Section 118220 -Recognizable �Zo t ��a S-( -o Irl (�•�rY1c2 C C ,1't'i Cllr Q S <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, Ln 2t �� o�-a\ p h` r <br />ch mo shall be labeled prope�X_$ A��24S(,) <br />,20.HSC Section 118280 -MW label & contain �J <br />_21.HSC Section 118285 -Sharps Iabel/contain <br />HSC Section 118295 -Proper decon used.1�10�1 a CS1 1S f 1JCiSt p 1� kn-C k A J <br />.HSC 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. <br />I sp ctor ignat re R �ieved By <br />