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6 <br /> P0.U!!y SAN JOAQUIN COUNTY 4P Date S <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0S3 la <br /> { 600 East Main Street, Stockton, CA 95202 T- <br /> (209)468-3420 <br /> 'g4 `P MEDICAL WASTE INSPECTION FORM rF®'�� <br /> FacilityNameScl ().nn FacilityAddress 2(I(n .(:a,lLola S". Su6 Q <br /> FacilityContact �J aa�,,, 4�'e r't�(A Title ( 'u ftw . Phone �, <br /> INSPECTION TYPE: mRoutine ❑Complaint ❑Re-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. `f� (v 1 I <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 <br /> generate medical waste unless registered with the 1 <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med ti® Xr1U rw4,1® <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med 6 t a 1 <br /> waste unless registered or obtained LQHE. , I w <br /> _6.HSC Section 117903-Shall not treat med C Mr a <br /> waste without permit from enforcement agency. <br /> 7.HSC Section 117908-Common Storage <br /> fa_cility shall be registered with local enforcement ' 1a OTA-All14- <br /> agency. j ' <br /> Procedures 1 <br /> _8.HSC Section 117935-SQG MWMP o <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. 1 tCA <br /> An rL <br /> f <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. 1 <br /> _12.HSC Section 117975-LQG shall keep -ems&S Dl '1 IN r� <br /> records for 3 years. <br /> Transportation s�I e <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage U �e <br /> _14.HSC Section 118135-Shall obtain a permit 5b <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. ' S1DS <br /> _15.HSC Section 118765-All treatment records 1 1 <br /> shall be kept for 3 years. f 1 s <br /> _16.HSC Section 118215-All medical waste jAn1 r <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human a' im <br /> anatomical parts shall be disposed of by interment L <br /> unless otherwise hazardous. ' " <br /> _18.HSC Section 118225-Treated sharps shall `1u <br /> be destroyed or somehow prevent public access. 1 <br /> 19.HSC Section 118275-MW red bags,path, 4111vi !7 <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.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 e <br /> bag used. <br /> _27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required InspE4tor Signature Received By Date <br /> 29 Other-Describe in narrative. <br />