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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 />Date <br />Record IDt oer9� <br />Frog EIemq;�—, -3c7 <br />-4�61c62- <br />Facility Name )k V I Facility Address Z --3900 9,Z c o cu <br />Facility Contact t Xrn t') i kc Dx" , Title HCA 2- &k� Phone #:7s: - +1 I 71.S0 111V <br />INSPECTION TYPE: \9!Routine <br />DComplaint <br />VIOLATION(S) <br />❑Reinspection <br />Registration <br />_ 1. HSC Section 117955 -Large Quantity <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />HEALTH & SAFETY CODE (HSC): <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation <br />of medical waste. <br />gj _ <br />HSC Section 117903 -Permit from the <br />_2. <br />enforcement agency required to treat medical <br /># �� `' — ` /�� I' M eCIL CA, Q <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />l A M 2-240., <br />generate medical waste unless registered with <br />the enforcement agency. <br />HSC Section 117895-SQG that treats med <br />_4. <br />waste shall register with enforcement agency. <br />HSC Section 117900 -Shall not haul med�K-)Cz� <br />- �n 0 --, I)jp I <br />_5. <br />waste unless registered or obtained LQHE. <br />_6.HSC Section 117903 -Shall not treat med <br />waste without permit from enforcement agency. <br />Section 117908 -Common Storage <br />_THSC <br />facility shall be registered with local enforcement <br />_ <br />agency. <br />Procedures <br /># 7(-3 <br />S.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 />rter shall keep records for 2 years. <br />11.HSC Section 117960-LQG shall file <br />Z1with enforcement agency. <br />VMP <br />12.HSC Section 117975-LQG shall keep <br />records for 3 years. <br />Transportation <br />�� ['� • i�i°r P'vn� l'n r�-�'' r� r� ycf. �r,c� <br />_13. HSC Section 118030-LQHE application. <br />Treatment/Storage , <br />Section 118135 -Shall obtain a <br />ju ! /' `� <br />I " <br />_14.HSC <br />permit from the enforcement agency to treat <br />medical waste prior to treating the waste. <br />I (l � F c -�n '` )`2� i�' \f 16 (�fiQc l}i � v- — <br />_15.HSC Section 118765 -All treatment <br />records shall be kept for 3 years. <br />_16.HSC Section 118215 -All medical waste <br />shall be treated pursuant to this section. <br />Section 118220 -Recognizable <br />"` -D <br />_ <br />rD'r�p� I i � � t )C��rfo 't n <br />_17.HSC <br />human anatomical parts shall be disposed of by <br />interment unless otherwise hazardous. <br />1 1 <br />J I� tam e n i I �' Y (`t�� ►nS(�l1� f`fO-A ` (Ln i:—r,i�F <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 />ch mo shall be labeled properly. <br />OASC Section 118280 -MW label & contain <br />\f <br />"--- <br />1.HSC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />Section 118310 -Enclosure labeled. <br />_23.HSC <br />Section 118305 -Cannot reuse drums <br />_24.HSC <br />_25.HSC Section 117630 -Approved biohazard <br />bag used. <br />(� <br />26. Other -Describe in narrative. <br />Insp ctor lgnat re Received By <br />