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SAN JOAQUIN COUNTY Date 9 13 ,� <br /> EVIRONMENTAL HEALTH DEPARTMENT PR 6S3(n 283 <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> ` MEDICAL WASTE INSPECTION FORM <br /> FacilityName �a ,�'�'e, fl(Ahl nLS ilityAddress a156 IN- Cjn j Q . ISO <br /> Facilitycontact ` �>,tl u t' Til Ce,iAjp,,yjj le 1, Phone#(gal) 'J.-YMq <br /> INSPECTION TYPE: ,Routine ❑Complaint ❑Re-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. �� S n I <br /> _2.HSC Section 117903-Permit from the NQ <br /> enforcement agency required to treat medical Ij <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall e <br /> generate medical waste unless registered with the C ' I- `-UC\�; ,S S�1�1 qt c 6 r <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med RI(AI <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. ` 1. <br /> _6.HSC Section 117903-Shall not treat med rc.u1"�l�c l�^ + - ,U-c- ,I3 <br /> waste without permit from enforcement agency. L t <br /> _ZHSC Section 117908-Common Storage \1(A 1 Q) '1 1 T �+-V, eA., <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures 3 a i tjj <br /> _8.HSC Section 117935-SQG MWMP ? e - <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <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 <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. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-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 G <br /> _28.HSC Section 118222-Incineration Required Insp or Signature Received By at <br /> 29 Other-Describe in narrative. <br />