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SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> 0 MEDICAL WASTE INSPECTION FORM <br /> FacilityName bckkck, SIp-it N'CkAjAsds FacilityAddress V) Qenqqlk Qt. <br /> FacilityContact C-V'p-2A\ AIA-ILn (-r Title Rt3', U-AII.Phone <br /> INSPECTION TYPE: VkRoutine ElComplaint oRe-inspection <br /> VIOLATION(S) <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 of <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> e—nforcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LOG shall <br /> generate medical waste unless registered with theT1 ELMO <br /> enforcement agency. ti '�nuk <br /> 6�0 L,!-)GLS e <br /> —4.HSC Section 11 7895-SQG that treats med tA- W)c Or, <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med J)j It-4d on <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> —THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures 60–4�� 4 0 fRN r LUJP-�H IM4 <br /> —8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 11 7943-SQG Shall keep <br /> records for 3 years. -n131A li3 Crwij <br /> —10.HSC Section 117945-SQG not required to -&1j ' <br /> register shall keep records for 2 years. 61 A <br /> —1 1.HSC Section 11 7960-LQG shall file MWMP <br /> with enforcement agency. <br /> —12.HSC Section 117976-LQG shall keep ILI,'% Ql(JkA lip <br /> records for 3 years. <br /> TransportationW 1A iCJi-- <br /> —13.HSC Section 11 8030-LQHE application. xa" <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit <br /> [A,- <br /> From the enforcement agency to treat medical <br /> waste prior to treating the waste. hAl it <br /> 15.HSC Section 118765-All treatment records <br /> 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 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 /> chemo 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 /> —23.1-11SC 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 /> —27.HSC Section 118276(g)-Pharm label/store <br /> —28.HSC Section 118222-incineration Required Inspe*r Signature ece' ed By Date <br /> 29 Other-Describe in narrative. <br />