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SAN JOAQUIN COUNTY Date Shill <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 5 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> 9c�FOR'' <br /> Fad ityName ofoj:� �e c\&Anko FacityAddreL� <br /> FacilityContact,C \j\' barsosr-\ Title 14- f)m �• P(dhIotny4 t 5�, <br /> — <br /> INSPECTION TYPE: gRoultine ❑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. <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical ( 3 1& 1 <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall n <br /> generate medical waste unless registered with the SQ <br /> enforcement agency. <br /> —4.HSC Section 117895-SQG that treats med 5 <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. <br /> _6.1-11SC Section 117903-Shall not treat med b m U 3 t <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage G 'rn <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> _8.1-11SC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep e' u <br /> records for 3 years. Q S 0 1@ <br /> _10.HSC Section 117945-SQG not required to <br /> re aster shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP ti ; <br /> with enforcement agency. "1 <br /> e12.HSC Section 117975-LQG shall keep Qau1 1 <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage1 <br /> _14.HSC Section 118135-Shall obtain a permit (� C A <br /> From the enforcement agency to treat medical t 1 <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <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, <br /> chemo shall be labeled properly. <br /> 1�,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 <br /> bag used. <br /> _27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Insp for Signature "Received By Date <br /> 29 Other-Describe in narrative. <br /> Pot( E .1 <br />