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ik f;S MEDICAL WA INSPECTION REPORT Date: q Iu IlS =, San Joaquin County Environmental Health Department Program Ali" Al 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: + (209)468-3420 Program www.siogv.org/ehd Element: (453-D Facility Name Address City Zip Code Stockton Hematology Oncology 2626 n.california st.#b Stockton 95204 Facility Contact Title Phone Number Email Inspection Type Sheila Desersa Office Manager (209)466-2626 Routine The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment ❑ 1 HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall registered with the EA. ❑ 17. be permitted by the EA. ❑ 2 HSC 117950-LQG shall register with the EA prior to generating medical waste. El18. HSC 118165-All treatment records shall be kept for 3 years. ❑ 3 HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to medical waste. El 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. _byjncineration or an.approved alternative. ❑ 6 HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this fissured by the EA. ❑ 22' section. ❑ 7 HSC 117890-LQG shall notify EA 72 hours prior to participating in temporary event. Containment/Storage ❑ :81 HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth participating in temporary event. ❑ 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. ❑ 10. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored treatment and shipping and tracking records for 3 years. ❑ 26. pursuant to this section. ❑ 11. HSC 117945-SQG not required to register shall maintain 27HSC 118295-Containers shall be washed and decontaminated information document and transportation records for 3 years. ❑ . pursuant to this section. ® 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical waste shall not be used for other storage. J��ttrackina 975-LQ�shrall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and ocumenyears. ❑ 29' marked with proper signage. HSC 118310-Designated accumulation area shall be secured Transportation E:1 30 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. 1 Received by: Print: Sheila Desersa Signature Tl _��_Phone: 209 466-2626 Specialist: Print: Benjamin Escotto,Sr REHS Signature: jl"`ta Phone:(209)468-3178 Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 EH-08/2015