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SAN JOAQUIN COUNTY • Date 5 <br /> �q. c ENVIRONMENTAL HEALTH DEPARTMENT PR <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> P MEDICAL WASTE INSPECTION FORM <br /> ��/FORa <br /> FacilityName l..1c, TPvvz, DL,4 c( FacilityAddressl/10 6J. iie hh nra i Lane- <br /> FacilityContact Title Phone# a7 -sz�y - lQ <br /> INSPECTION TYPE: gRoutine []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. - I <br /> _2.HSC Section 117903-Permit from the 6 <br /> enforcement agency required to treat medical <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall 4aS <br /> generate medical waste unless registered with the �� yVl `���� IJ h os• h0 <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> _7.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. r <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 <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 f ►J" <br /> records for 3 years. -� `� ����/ 1--�'► G S�f y �A�S <br /> Transportation <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storage `w <br /> _14.HSC Section 118135-Shall obtain a permit 6-�-L]� Am '3-11--144 �Vl f�.�J �l(U F7,.t <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 C t 1 <br /> shall be treated pursuant to this section. ` - - <br /> _17.HSC Section 118220-Recognizable human �L A� V11.t t ej JDA ` G, <br /> anatomical parts shall be disposed of by interment fFF <br /> unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall \ <br /> be destroyed or somehow prevent public access. J '2 L4-r VIP 1WZ <br /> _19.1-11SC 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 /> _25.1-11SC 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 Iv*�ct6rZA nature Received B9 Date <br /> 29 Other-Describe in narrative. <br />