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SAN JOAQUIN COUNTY 46 Date �1301 11 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR Q530 -162 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName M414.51"&. FacilityAddress W. i5D <br /> FacilityContact _TD.F6 -Title u omMV Phone# (Avn. <br /> INSPECTION TYPE: gRoultine oComplaint EiRe-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC Section 117965-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of 11 <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the <br /> ;-nf-orcement agency required to treat medical <br /> �12 LA She el t <br /> waste. <br /> 3.HSC Section 117890-No large LQG shall III ra QUA ZAA, ca� er cs-('\ a14� <br /> 0(A <br /> generate medical waste unless registered with the <br /> enforcement agency. il I Ka-r 'I f-\(l n,aL i'_Li <br /> —4.HSC Section 117895-SQG that treats med i -�I IL C Itk <br /> waste shall register with enforcement agency. <br /> 5.HSC Section 117900-Shall not haul med <br /> "Ve--Z 147V LLI I IH4:�L I A�W <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> Fac-ility shall be registered with local enforcement <br /> C20 ` <br /> 0 M LIU E 1A UIL <br /> Procedures CQ 1W VL)I�V A W, \)(A'\ AVA 3 1)(AS <br /> 8.HSC Section 117935-SQG MWMPA' <br /> 9.HSC Section 117943-SQG Shall keep )'--s2au !LWAS Lu"Ll LkCA 1211 (" <br /> records for 3 years. <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> —I 1.HSC Section 11 7960-LQG shall file MWMP <br /> With enforcement agency. A,\ <br /> 12.HSC Section 117975-LQG shall keep i 1S'j'Vv­ W ('0j I-tk 0A br-\ 51,VC <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> -14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. '"�4 <br /> 15.HSC Section 118765-All treatment records <br /> 's_h_all be kept for 3 years. <br /> 16.HSC Section 11821 5-All medical waste o cu"r (.3 o <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable human -712:-7 lit) <br /> anatomical parts shall be disposed of by intermentI <br /> unless otherwise hazardous. 11 L)A(ALj (I 'e'_V�l F <br /> 18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. ew-yk� �2,A2d j <br /> 19.HSC Section 118275-MW red bags, path, <br /> chemo shall be labeled properly. <br /> —20.HSC Section 118280-MW label&contain 5. (0 -o'n- 0�' kD6j4-(j).A <br /> _21.HSC Section 118285-Sharps label/contain <br /> —22.HSC Section 118295-Proper decon used. �4 I"'PA <br /> 23.HSC Section 118307-interim storage labeled <br /> 10-Enclosure labeled. \'Ni f2 L!(Z1W- �AlWb Ln I re, An <br /> —24.HSC Section 1183 <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 Inspe&r Signature Received By Date <br /> 29 Other-Describe in narrative. <br />