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�o�qu rry yco SAN JOAQUIN COUNTY Date ta-117(sy <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 0s3W3Z <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> ....... `4 MEDICAL WASTE INSPECTION FORM <br /> FacilityNarne 10 Sc9V s ZwyvAaA�L (w9 cili dress Ito) E. mask Lrry,�1A10 Q <br /> Faci ityContact k'DH- kC Nake TffleSe4,r p41pP 4 ops_ Phone# (141)140 <br /> INSPECTION PE; cgRoutine ❑ o plaint ❑ e-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. 0 1 r c� lkuSi J\ l5 1t,R <br /> 2.HSC Section 117903-Permit from the <br /> e—nforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. <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 ®j1 6e- <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> _8.HSC Section 117935-SQG MIVMP <br /> _9.HSC Section 117943-SQG Shall keep 1 <br /> records for 3 years. \iA GZ <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. <br /> _12.HSC Section 117975-LQG shall keep �` 1CAS l c. f �VAl <br /> records for 3 years. <br /> Transportation CoAne, 'n '`��� <br /> _13.HSC Section 118030-LQHE application. <br /> TreatmentlSto rage <br /> _14.HSC Section 118135-Shall obtain a permit <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. <br /> _16.HSC Section 118216-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 /> _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 />