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Date to-LZ- <br /> 0 Record ID_ t <br /> Prog Elern 4S. <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 Facility Address Chi <br /> Y_ <br /> N&Qj&-EtL_Phone# qq:'2- -:=M <br /> Facility Contact � L�/ <br /> INSPECTION TYPE: outine ElComplaint EiReinspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC Section 117955-Large HEALTH & SAFETY COPE (HSC : <br /> 'Generator shall register with the enforcement 0 <br /> f <br /> agency prior to commencement of the_generationof medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical Qct gy�=s ia� ad d:fC=A�&S nm��i LLQ S-U <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall _LMO±aA _ <br /> generate medical waste unless registered with An� <br /> the enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med _ A /-Zr-.e Dxc <br /> waste unless registered or obtained LQHE. I <br /> —6.HSC Section 117903-Shall not treat med Cft 40 M A_ � D=r_e. rj3QC�_- <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage CLOWO <br /> _facility shall be registered with local enforcement "Vogni" X� fAA e,,4 <br /> agency. <br /> Procedures <br /> 8.HSC Section 117935-SOG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> 1 O.HSC Section 11 7945-SQG not required to <br /> register shall keep records for 2 years. <br /> I 1.HSC Section 11 7960-LQG shall file <br /> K[W_MP with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storage <br /> —14.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat <br /> medical waste t)fior to treating the waste.. <br /> —1 5.HSC Section 11 8765-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 /> 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 /> 'b,e_destroyed or somehow prevent public access. <br /> 19.HSC Section 118275-MW red bags,path, <br /> 'ch__emo shall be labeled properly. <br /> 20.HSC Section 118280-MW label&contain <br /> 21.HSC Section 118285-Sharps label/contain <br /> 22ASC Section 118295-Proper decon used. <br /> 23.HSC Section 118310-Enclosure labeled. <br /> —24.HSC Section 118305-Cannot reuse drums <br /> —25.HSC Section 117630-Approved biohazard <br /> bag ped. <br /> Other-Describe in narrative. Ins Signa <br /> Ins ecto Signa re ReCelviid @y <br />