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SAN JOAQUIN COUNTY Date 3h411 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR n0ill'7 <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> coo <br /> (209)468-3420 <br /> ......... MEDICAL WASTE INSPECTION FORM <br /> FacilityName hcftrlc,r McAledl asponse, ill Address 00 S- Fk-.-nt Avt.-, <br /> FacilityContact7nn.,A N a c Title <br /> INSPECTION TYPE: ffRoutine EiComplaint olke-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 /> �de__nerator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the Ck r.-.,i�'-N N <br /> X , A (_l11,1W1&4Yt)1Y <br /> enforcement agency required to treat medical OFGn!aA <br /> waste. <br /> -No large LQG shall §Aje- Se-a h Ck fW ,C, <br /> —3.HSC Section 117890 UD, <br /> generate medical waste unless registered with the 1 l1) 1� & <br /> enforcement agency. DW A,& ca <br /> —4.HSC Section 117895-SQG that treats med +IAIA�i's QgirwA A01A r <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med P Ar-i 1,11 I, LA 1mg(gA&�(L.] L&ml�L iAnl Y'r)"'111 <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med -1 (A 1AfYA-)(L(tj4(.L WuLa (jd[A1AifV <br /> waste without permit from enforcement agency. I YA g A a&EL/, tf !A <AnA <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement L i8�r1l" e J?Ain ct., �almovi'[Aou- 17-14 L41NIIIA <br /> agency. T <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to -M)A) NA 0 <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 b WZ 1, <br /> —13.HSC Section I I 8030-LQHE application. <br /> Treatment/Storage <br /> —14.HSC Section 118135-Shall obtain a permit (1,( j M fc,111)k jArrC A-V(A' rA <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. �a� nj-,t� r,gkirr4 _Lojk�, 'FACA <br /> I 5.HSC Section 118765-All treatment records <br /> ';-h—all be kept for 3 years. 11 L�P-A �V MrIb&Ct INUif 14 -1 (A <br /> 16.HSC Section 118215-Ail medical waste a4A wk'� <br /> shall be treated pursuant to this section. <br /> - 17.HSC Section 11 8220-Recognizable human ViAk4V&QdA A9-, <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 /> b used. 1A <br /> ba <br /> Section 118275(g)-Pharm label/store <br /> —28.HSC Section 118222-incineration Required InspCfor Signature �ed By ate <br /> 29 Other-Describe in narrative. <br />