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AUG-01-2006 TUE 03:0.0 P FAX NO. 3 P. 02 <br /> Date ta IZ( z�Lv <br /> Record 15— <br /> Prog Elern <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 /> FacilityAddress <br /> Facility Name - / <br /> Facility Contac T Phone# 6G3 <br /> INSPECTION TYPE: <br /> -------'%o-utine CiComplaint ®Reinspection <br /> VIOLATION4S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC section 117065-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> -Generator shall register with the enforcement <br /> agency or to a ce ant of the m0=11—m <br /> o(modical wa§!L <br /> —2 HSC section 117903-Permit from the <br /> enforcement agency required to treat medical r-A <br /> wa - Alo <br /> ste. <br /> 3-HSC section 117890-No large LOG shall" <br /> generate medical waste unless registered with <br /> the enforcement agency, <br /> 4.HSC Section 117895-SOO that treats mad jj:='e eaks ink <br /> waste shall register with enforcement agency. 1 11 <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LOHE <br /> _L_6.HSC 8004011117803-Shall not treat med <br /> waste without permit from enforcement agency, <br /> 7,HSC Section 117008Zommon Storage L <br /> facility shall be registered with local enforcement e4+Y&8 e-i 41 <br /> Procedures <br /> BASC'Section 117935-SOG MWMP <br /> —9ASC Section 117943-SQG Shall keep <br /> is-c-ords for 3 years. <br /> 10.Hsc Section 117045-SQG not required to <br /> regi,,ar shall keep records for 2 years. <br /> J.HSC Section 117960-LOG shall file eb a6s r1p <br /> MWMP with enforcement agency, <br /> —12.Hsc Section 117975-LOG shall keep <br /> records for 3 years. <br /> Transportation <br /> 13.HSC section 118030-1-OHE application. <br /> Treatment/Storage I Lyl 1 <br /> _14.HSC Section 118135-Shall obtain a r( <br /> permit from the enforcement agency to treat -_z M <br /> medical waste or aaaaALS-M& . ........ <br /> ® <br /> I SAW Section 118765-All treatment <br /> records shall be kept for 3 Years. <br /> 1611-Isc section 118215-M medical waste <br /> shall be treated pursuant to this section. <br /> 17.1-18C Section 118220-Recognizable' <br /> Fu-man anatomical parts shall be disposed of by <br /> Interment unless otherwise hazardous, <br /> _1 BASC Section 118225-Treated sharp$shall <br /> be destroyed or somehow prevent public access. <br /> i g.HSC Section 11 8275.MW red bags,path, <br /> ch4rno shall be labeled properly. <br /> A00.Hsc section 1i8280-mw label a contain <br /> -,21.KSC Section 118286-Sharps label/contain <br /> V:22'HSC Section 118295-Proper decon used. <br /> 23.HSC Sedan 118310-Endosurs labeled. <br /> 7)4.HSC Sedon 118305-cannot reuse drums <br /> .25,H$C Section 117630-Approved blohazard <br /> bag used Received B <br /> _26.Other-Describe in narrative. to Signat re Received I Sp to Slanat <br />