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Date-&--7,L--1-()L( <br /> • Record ID was <br /> Prog Elem <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 NameGn-niorn Pe-,,;(+(ncat-e Facility Address <br /> Facility Contacts -n c r0r \D1C Title AA41 a Phone <br /> INSPECTION TYPE: ARoutine ❑Complaint DReinspection <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 <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 ` _l_L(2 a rej 1-tic S _ rrZfl Ap t`,� Ci4D6f0 <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 ,> ( /kc�-�2 n ��yYY��P�S h°r,�QS ry\LA-crf- 1(2p S-}- j <br /> waste unless registered or obtained LQHE. ^ <br /> _6.HSC Section 117903-Shall not treat med !J/l am+-,o it cl n-� jl ^Mec,--t CO-P- I IJQ Sfn rL�� <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 ZO)' ,�-x_o me�nlwnS� t,',LAS 1/2 rte d <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. `n Aja v� LQ.aAQ 0,11 �a <br /> _10.HSC Section 117945-SQG not required to <br /> Tre ster shall keep records for 2 years. ��a r� I—ki S+4 I'�(n I�,o A)GOP <br /> T1ter <br /> Section 117960-LQG shall file <br /> MWMP with enforcement agency. I Ar 114 t3Y\ <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 -Wi S <br /> permit from the enforcement agency to treat ! �A <br /> medical waste prior to treating the waste. nfY;C^444 i Oft<g <br /> _15.HSC Section 118765-All treatment --� <br /> records shall be kept for 3 years. /w` f`!`P A K V) <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 /> be d stroyed or somehow prevent public access. <br /> 9.HSC Section 118275-MW red bags,path, <br /> ch9mo shall be labeled properly. <br /> O.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps label/contain ' <br /> 22.HSC 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 /> hag used. <br /> 26.Other-Describe in narrative. <br /> Inspector bignature CKeceived By <br />