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JUL/12/2011/TUE 12: 33 P. 002 <br /> o.4?i SAN JQAQUIN COUNTY bate 3p I <br /> ENVIRONMENTAL. HEALTH DEPARTMENT PR 053 9 �2 63 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> 0 MEDICAL WASTE INSPECTION FORM <br /> FadlityName 1 ' ?4 'S dlltyAddreSS. 115&) <br /> FacilityContact c i Lei Title 6 � �� - Phone# <br /> INSPECTION TYPE: gRoutine Dcomplaint oke-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 /> G_enerator shall register with the enforcement <br /> agency prior to commencernq_nt of the aeneratlotL4f <br /> medical e. I. `�J 1`�S-^ 1 t s S tl <br /> _2.HSC Section 117903-Permit from the , <br /> enforcement agency required to treat medical - <br /> waste. (� ` <br /> 3.NSG Section 117690-No large LQG shall 0A .e. e- <br /> g^enerate medical waste unless registered with the ,,'® ���enforcement agency. C <br /> 4.HSC Section 117895-SQG that treats mod ; <br /> waste shall register with enforcement agency. , <br /> 5.HSC Section 117900-Shall not haul med n ® QI AlvL H S n 'd <br /> waste unless registered or obtained LQHE. f <br /> _6.HSC Section 117903-Shall not treat med hc4ililf <br /> waste without permit from enforcement agency. <br /> _7.HSC section 117908-Common Storage <br /> facility shall be registered with local enforcement St S n ,S ft7a �v <br /> ency. e <br /> Jocedures �"° �^ <br /> 8.HSC Section 117935-SQG MN1MP <br /> _9.HSC Section 1179.43-SQG Shall keep ®s t sS �' v 5� <br /> records for 3 years. <br /> _10.HSC Section 117845-SQG not required to <br /> register shall keep records for 2 years. Z- <br /> _11.HSC Section 117960-L.QG shall file MWMP <br /> wdh enforcement agency. • t!� 4 <br /> '12.HSC Section 11797&LQG shall keep "��®� \Srj'l�¢, WV,6 UaJ I�-LJ1 e4� !,n <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-)_QHE application. . <br /> Treatment/Storage � ,t9cc�P <%-j-1�W� - ��� u- � c <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treatlna the waste. <br /> _16.HSC Section 118785-All treatment records ` t L <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All rnedical waste Ott, �( <br /> shall be treated pursuant to this section. �G ..�, 1 <br /> _17.HSC Section 118220-Recognizable human e <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. i T T <br /> ,18.1-11SC Section 118226-Treated sharps shall <br /> be destroyed or somehow prevent public access. ' <br /> _19-HSC Section 118275-MW red begs,path, <br /> chemo shall be labeled properly. \_ <br /> _20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps labellcontain ' 1 <br /> 22.HSC Section 118296-Proper decon used. (& Winn, <br /> 23.HSC Section 118307-Interim storage labeled 1 , C e- <br /> '� 24.HSC Section 118310-Enclosure labeled. <br /> 26.HSC Section 118306-Cannot reuse drums <br /> _26,HSC Seotion 117630-Approved-biohazard__.. . _. .....__...,.......... ............__ _ . ...... _.._. ......_. _. ...-- // <br /> bag used. (D-3y�il <br /> 27.HSC Section 118275(g)-Pharm labellstore <br /> 28.HSC Section 118222-incineration Required Inspe or Signature Received By Date <br /> ^29 Other-Describe in narrative. <br />