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SAN JOAQUIN COUNTY Date la/ 51 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName S-4, -Jo p pV s Zv,,rmXoike Care, FacilityAddress 1801 E nw�L . LI). q' o E <br /> FacilityContact oyn t!KenA- Title Nit rdti:xp 04 095- Phone#(9o1)LA(n-4q 14 <br /> INSPECTION TYPE: Pqoutine EiComplaint EiRe-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 /> LVio6 ah,-A Awini�)is <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 And <br /> generate medical waste unless registered with the -TV <br /> enforcement agency. Coe Wcvs <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 /> 6.1-11SC Section 117903-Shall not treat med J" <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage LVVALA IAAIIN�v <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures T (A Z(A <br /> B.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep & '1 C4 V)m, <br /> M <br /> records for 3 years. M14 '� 01-1 (0 'S <br /> PJ& -L-r 9-,;L�14CA 1 <br /> 10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> I 1.HSC Section 117960-LQG shall file MWMP <br /> �with enforcement agency. 11r) EIA'de-Ato 034 <br /> —12.HSC Section 117975-LQG shall keep (0 I'Ta <br /> records for 3 years. <br /> Transportation <br /> —13.HSG Section 118030-LQHE application. <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit <br /> Trom the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> 15.1-11SC Section 11 8765-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 11 8215-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 /> I 8.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 /> 20.1-11SC 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 labelIstore A <br /> —28.HSC Section 118222-Incineration Required Inspotor Signature Received By Date <br /> 29 Other-Describe in narrative. <br />