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SAN JOAQUIN LOCAL HEALTMISTRICT <br /> 1601 E. HAZELTON AVENUE, P 0. 02009 <br /> STOCKTON, CA 95201 - PHONE: ( ) 468-3420 <br /> INFECTIOUS WASTE INSPECTION FORM <br /> COMPUTER NO. 5� <br /> PERMIT NO, <br /> PERMITS.& PROCEDURES UBAST Sc�SEPtFS 111E✓J►Cr4L CEntTE nspecion Date <br /> STR. OPER. h1571NCT- PA4r S J CEO vR /NG F G/Lt i 6/26/-70 <br /> / Premise Address Recheck Dete <br /> 1. PERMIT TO OPERATOR / r Bbp td . CR 1�OQN/�l 5% ST_?.)Ck?b/1I <br /> 2. PROCEDURES&POLICY Y THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> (up to date,on file,with H.D.) <br /> 3. INFECTIOUS WASTE IDENTIFIED" <br /> 4. PROVIDE COPY MATERIAL DATA SHEET <br /> _ 5, IDENTIFY HANDLING FROM,✓ � E 'c {��J1 <br /> GENERATION TO DISPOSAL <br /> _ 6 DISINFECTING & CLEAN-UP IDENTIF D <br /> 7.AIR POLLUTION INCINERATION PE;*T � 1TL%C U v-v ~ <br /> ON FILE II�- <br /> _ 8.ANNUAL CALIBRATION CHECK <br /> FOR STERILIZER / _(S'4_ <br /> �tn G G v S L...)c;, 9> 1 r)`lc' l S <br /> _ <br /> S. BAG STRENGTH ON FILE �/ ' d - <br /> (165-gram strength) U � <br /> STORAGE/CONTAINERS <br /> 10. PROTECTION FROM INSECTS/ROD , <br /> WIND.RAIN,&ANIMALS <br /> _ 11 SEGREGATED AT POINT OF ORIGIN <br /> _- 12. SEPARATE FROM OTHER WASTES _ 4 1 ---•11 (> �j l S Ci I <br /> _ 13. CONTAINERS IN LOCKED AREA RE0f/JIRED <br /> 14.WARNING SIGN IN ENGLISH&�/ <br /> SPANISHIVISABLE / <br /> 15. ON SITE STORAGE TIME V <br /> _ 16 LEAKPROOF. PUNCTURE-RE I ANT <br /> CONTAINERS& BAGS / <br /> 17. BAGS LABELED INFECTIOUS/ <br /> WASTE/DIO•HAZARD <br /> _ 18. TIGHTLY LIDDED CONTAINERS/ <br /> 19. CONTAINERSLABELED-66H SIDES&TOP <br /> _> 20 CONTAINER WASH AREA PR RLY <br /> DRAINED WITH HOT WATER <br /> TREATMENT/DISPOSAL - <br /> _ 21,REGISTERED HAZARDOUS ' <br /> WASTE HAULER AJ <br /> 22. INCINERATION`1 <br /> 23. HEAT STERILIZATION / <br /> — _ 24. DRAIN TO A SANITARY SEWER LINE <br /> 25.REUSABLE CONTAIt3ERS CLEANED EACH <br /> TIME THEY ARE EMPTIED&PRCP LY <br /> SANITIZED <br /> _ AAAARAJ <br /> g� <br /> _ 26. LEAKPROOF DUMPSTER ON SITE'/ SAIJIT 'Ir1N RE E BY <br /> V <br /> EH W 01 <br />