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SAN JOAQUIN COUNTY Date 1014 12 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR t)531144 <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName g FacilityAddress SIO 6- [�ajjjn t WIA� <br /> FacilityContact 'Twn Title Te-Lh, SiAp- PhoneIJA-)-M-S-800 <br /> INSPECTION TYPE: VRoutine oComplaint EiRe-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. <br /> -TtN'1Q— ri l, 0 915A IA bru <br /> 2.HSC Section 117903-Permit from the f <br /> enforcement agency required to treat medical <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall uo�j�t-- Flk�klkn. Int"A. I Mefl='I' fClAnU4 MLA <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> —4.HSC Section 11 7895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med Ix IA"4M X(JA !g.14 CIZZ CLS±CLti,[ mp-k rAA <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 /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures ALW)ILL41 fti�41iia' <br /> —8.HSC Section 11 7935-SQG MWMP C4) 'I <br /> 9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> -=10.HSC Section 117945-SQG not required to Ck-(334L7,U,0 JALAn --K-4 ' r) <br /> N"'N 6 A V- <br /> register shall keep records for 2 years. C)LA LAU1 CV*6 �A' <br /> I 1.HSC Section 11 7960-LQG shall file MWMP I I <br /> �jth enforcement agency. iL InA haek. �,A� JL ta'5 <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. swkl 1&4c fVl\A U I.A <br /> Transportation J <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 /> 1 5.HSC Section 11 8765-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 /> bedestroyedor 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 InspQor Signature Received By Date <br /> —29 Other-Describe in narrative. <br />