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SARI JOAQUIN COUNTY Date c--I <br /> oG ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> Y 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPEC I ION FORM <br /> n L� �-4-tom- �2 <br /> FacilityContact <br /> XNSPECT OTYPE: ®utine ❑Complaint ❑Ple-inspecti®n <br /> VIOLA T 10N(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 1 <br /> enforcement agency required to treat medical f <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. G <br /> O e2 C <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 <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 ® y ea n� &� <br /> facility shall be registered with local enforcement <br /> agency. <br /> _8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> re ister shall keep records for 2 years. <br /> Na- <br /> 1 Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> 12+1SC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation =-YA,ffier)s� 1-,)/ 0 ino�-T)n 6A,�Z <br /> _13.HSC Section 118030-LQHE application. <br /> Treab-nent/Stora e <br /> _14.HSC Section 118135-Shall obtain a permit y 1 <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. � C4 i) a Yl /1C <br /> 16.1-ISC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human S <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, NA C20 af <br /> ch mo 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 /> T23.HSC 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 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Signature Received By Date <br /> 29 Other-Describe in narrative. <br />