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0 <br />SAN JOAQUIN COUNTY Datjn 1 _ <br />ENVIRONMENTAL HEALTH DEPARTMeRNT PR 051T7!!US <br />600 East Main Street, Stockton, CA 95202 <br />(209) 468-3420 <br />MEDICAL WASTE INSPECTION FORM <br />FacilityNamei&IkAilD,` �; '� <br />INSPECTIONARoutine ElComplaint ■ yin <br />Registration <br />THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br />_ 1. HSC Section 117955 -Large Quantity <br />HEALTH & SAFETY CODE (HSC); <br />Generator shall register with the enforcement <br />agency prior to commencement of the generation of <br />medical waste. <br />HSC Section 117903 -Permit from the <br />L\ <br />®vii (A i9S1S t�H 't ltlis <br />_2. <br />enforcement agency required to treat medical <br />waste. <br />_3. HSC Section 117890 -No large LQG shall <br />1v �T ` <br />1 CO t <br />generate medical waste unless registered with the <br />enforcement agency. <br />_4. HSC Section 117895-SQG that treats medWgik, <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 />' ct e- (d,/) 1 L e <br />r <br />Aj`irk <br />waste without permit from enforcement agency. <br />Section 117908 -Common Storage <br />of <br />_7.HSC <br />facility shall be registered with local enforcement <br />agency. <br />Procedures <br />v4)A lao i nA 2&e <br />Section 117935-SQG MWMP <br />_8.HSC <br />_9.HSC Section 117943-SQG Shall keep <br />records for 3 years.N <br />_10.HSC Section 117945-SQG not required to <br />register shall keep records for 2 years. <br />j i S <br />M Sl <br />_11.HSC Section 117960-LQG shall file MWMP <br />with enforcement agency. <br />f <br />_12.HSC Section 117975-LQG shall keepI <br />records for 3 years. <br />Transportation <br />W I u <br />to 1 <br />V <br />_13. HSC Section 118030-LQHE application. <br />Treatent/t®rage <br />_14.HSC Section 118135 -Shall obtain a permit <br />from the enforcement agency to treat medicalc <br />waste prior to treating the waste. <br />_15.HSC Section 118765 -All treatment records <br />1 <br />a 8 GJ. I "'141 a <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 />r <br />e <br />(J� �f o(' (Q r <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 />Section 118280 -MW label & contain <br />_20.HSC <br />_21.HSC Section 118285 -Sharps label/contain <br />_22.HSC Section 118295 -Proper decon used. <br />Section 118307 -Interim storage labeled <br />_23.HSC <br />Section 118310 -Enclosure labeled. <br />_24.HSC <br />Section 118305 -Cannot reuse drums <br />_25.HSC <br />_26.HSC Section 117630 -Approved biohazard <br />, <br />bag used. <br />Section 118275(g)-Pharm label/store <br />Inspect& Signature Receivedy Date <br />_27.HSC <br />28.HSC Section 118222 -Incineration Required <br />29 Other -Describe in narrative. <br />