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• Date Co Z8 O _ <br />Record ID SQL AZ <br />SAN JOAQUIN COUNTY Frog Elem_4jS�� <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 NameJ�V I Facility Address Z7:)500 <br />Facility Contact 1 ; It %ajc!"t Title Je.4-�j k>r MTA Phone # <br />INSPECTION TYPE: Woutine <br />Registration <br />_ 1. HSC Section 117955 -Large Quantity <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 <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 <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 <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years. <br />_10.HSC Section 117945-SQG not required to <br />;tre ister shall keep records for 2 years. <br />1.HSC Section 117960-LQG shall file <br />WIMP 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. <br />_15.HSC Section 118765 -All treatment <br />re rdsshall be kept for 3 years. <br />46.HSC Section 118215 -All medical waste <br />all be treated pursuant to this section. <br />_17.HSC Section 118220 -Recognizable <br />human anatomical parts shall be disposed of by <br />interment unless otherwise hazardous. <br />_18.HSC Section 118225 -Treated sharps shall <br />be estroyed or somehow prevent public access. <br />19.HSC Section 118275 -MW red bags, path, <br />ch o shall be labeled properly. <br />20.HSC Section 118280 -MW label & contain <br />_21.HSC Section 118285 -Sharps label/contai <br />_22.HSC Section 118295 -Proper decon used. <br />23ASC 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 />❑Complaint <br />VIOLATION(S) <br />DReinspection <br />Elam •� <br />•� A • a [a L �S r a+i • rte. �. :�. <br />.■ tel► •� �rJl.•_ , /..�I. J ' \■ _�! �.� . L` �I <br />221 W1 SaM111, MIMESIS, I <br />.. �.t % ■�!.. i owing ■tel,• <br />RNAW <br />i . ■� r to a fat � ! t• i • [Il�b <br />• 1.. _ �i • <br />1 NO a 110- <br />`_ <br />I I INZI � 001 aK2 � �� ■ <br />AM <br />