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y� MEDICAL WASTEOSPECTION REPORT Date: <br /> San Joaquin County EnvironmentAl Health Department Program <br /> 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: <br /> 46 5��6&3 <br /> P (209)468-3420 Program �/ Q <br /> gc%ADR`'` www.siogv.org/ehd Element: 7��n <br /> Observations and Corrective Actions: <br /> 12. This registered large quantity generator does not file a medical waste management plan (MWMP)with San Joaquin County <br /> Environmental Health Department(EHD). <br /> -A large quantity generator required to register with the EHD shall file with the EHD a MWMP on forms prescribed by the EHD. <br /> HSC117960 <br /> -The Medical Waste Management Plan (MWMP) requires updating with signatures from a current employee(This <br /> violation was corrected during the inspection). <br /> 24. Pharmaceutical waste is not segregated for storage. <br /> - Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or <br /> secondary container labeled with the words"HIGH HEAT OR INCINERATION ONLY" on the lid and sides, so as to be visible <br /> from any lateral direction. HSC 118275(a)(6)(B) <br /> -The pharmaceutical waste container at the nurse's station requires a label on the lid with the words "HIGH HEAT OR <br /> INCINERATION ONLY" (This violation was corrected during the inspection). <br /> 25. Biohazardous waste is stored above 32 F onsite for days. <br /> -A person who generates 20 or more pounds of biohazardous waste per month shall not contain or store that waste above 32 F <br /> onsite for more than 7 days. A person who generates less than 20 pounds of biohazardous waste per month shall not contain or <br /> store that waste above 32 F onsite for more than 30 days. HSC 118280(e)(1) <br /> -Medical waste in the facility is stored at ambient temperature. During the periods of(1)9/27/2019 through 10/11/2019 <br /> and (2) 10/11/2019 through 11/7/2019 medical waste remained onsite for more than seven days. Ensure that waste <br /> stored in the facility is remBNEWMt every seven <br /> Notes: <br /> 1) Barnett medical services is the licensed medical waste hauler. Medical waste is picked-up twice per week. <br /> 2) Shipping and tracking records were available for review online along with records for destruction of the waste. The <br /> process requires accessing the records through Barnett Medical Service's website, and requires an atypical amount of <br /> time to review the records. In the interest of time, the pick-up frequency was garnered from the facility service dates, <br /> and the records were spot-checked. For most of the records checked, eight containers were picked-up on a visit with a <br /> total weight of either 320 pounds or 400 pounds(the records either indicate eight containers at 40 pounds each or eight <br /> containers at 50 pounds each). The smallest amount observed to be picked-up was three containers with a total weight <br /> of 150 pounds. <br /> 3) The biohazardous waste bags meet both the ASTM D1922 and D1702 standards. <br /> 4) The medical waste management plan was available for review. An updated copy of the MWMP was provided during the <br /> inspection. <br /> 5) Annual training records were available for review for 20 employees. Training is completed as part of the Annual OSHA <br /> Regulatory Courses that includes Hazardous Communications per Mr. Equid. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />