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MEDICAL WASTRSPECTION REPORT 10 / Date: I�[Z 1/2olb San Joaquin County Environmental Health Department Program (p .1 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: \K-O S3SO Z Pj (209)468-3420 Program www.siogv.org/ehd Element: Facility Name Address City Zip Code Delta Pathology 3133 w. march In 1040 Stockton 95219 Facility Contact Title Phone Number Email Inspection Type Jeanne Siu 209-477-4432 Routine The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall El registered with the EA. ❑ 17' be permitted by the EA. HSC 117950-LQG shall register with the EA prior to ❑ 2' El18. HSC 118165-All treatment records shall be kept for 3 years. generating medical waste. HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to ❑ 3. medical waste. F1 19. this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4. register with the EA. ❑ 20. disposed of by interment, incineration, or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit 22' HSC 118225-Sharps waste shall be treated pursuant to this ❑ 6. issured by the EA. ❑ section. HSC 117890-LQG shall notify EA 72 hours prior to El 7. participating in temporary event. Containment/Storage HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth El 8. participating in temporary event. E] 23' in this section. HSC 118275-Medical, biohazardous, sharps,trace chemo, Records/Documentation ❑ 24 pathology,or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored El 10. 26 treatment and shipping and tracking records for 3 years. ❑ . pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated El 11. 27 information document and transportation records for 3 years. ❑ ' pursuant to this section. HSC 118305- Reuseable drums or conainters used for medical E] 12. HSC 117960-LQG shall file MWMP with the EA. El 28. waste shall not be used for other storage. HSC 117975-LQG shall maintain treatment and shipping and 29. HSC 118307- Intermediate storage area shall be secured and ❑ 13. tracking documents for 2 years. ❑ marked with proper signage. Transportation ❑ 30 HSC 118310-Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: Signature: Phone: Specialist: Print: Harprit Mattu, Sr REHS Signature: Phone: 209 468-3284 Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 EH-08/2015