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® r MEDICAL WASTE INSPECTION REPORT Date: I I San Joaquin County Environmental Health Department Program �. 1868 E.Hazellon Ave.,Stockton,CA 95205 Record: - (209).468-3420 Program n www.sioov.om/ehd Element. q (� Facility Name Address City Zip Code Sutter Tracy Community Hospital 1420 n.tract'blvd. Tracy 95378 Facility Contact Title Phone Number Email inspection Type Dawn Kent EVS Manager 209-832-6053 kentd@sutterheal Routine th.org The above facility is inspected for compliance.with Division 104,Part 14 of California Health and Safety Code(HSC), Registration Treafineri HSC 117890-No LOG shall generate.medical waste unless HSC 11$130-All onsite medical waste treatment facilities shall ® 1' registered with the EA. 17' be permitted by the EA. HSC 117950-LOG shell register with the EA❑ prior to 2• 18. HSC 198186-Ali treatment records shall be kept for 3 years. generating medical waste. ® 3 HSC 117903m.Permit from the EA Is required prior to treating ❑ 19 HSG 118216-Ali medical.Waste shall be treated pursuant to medical waste. this section. HSC 117926-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4' register with the EA, 20, diseased of by Interment,Incinerallon,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 11$222=Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted 21. waste,or pharrn waste from health care settings shall be treated underdhe MOT exem tion. b lnclneratlon or.an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118226-Sharps waste shall be treated pursuant to(his 6' assured by the EA: 22' section. HSC 117890-LOG shall notify EA 72 hours prior to 0 T' participating In temporary event. Co.nEalntriehflStorage HSC 1178136- SOO shall notify EA 72 hours prior to NSC 117830-8lohazard bag shall meet the standards set.forlh ❑ 8` articl atln In tem ra event. 23' in this section. HSC 118275-Medical,bMazardous,sharps,trace chemo, pathology,or pharmaceutical waste shall be segregated and �eaorc{slDotsymetttatiotti 24. contained pursuant to thls.section. The container shall be prope&labeled.. C19. HSC 117935-Registered SQG shall file MWMP with the EA. 25. HSC 118280- Blohazard bags shall be`cot tainerized.and stored pursuant to this section. ❑ HSC 117943-SQG required to register shall maintain HSC 118286-Sharps waste shall be contalnerized and stored 10. treatment and shlpptng and tracking records fora years. 26' pursuant to this section. ❑ HSC 117946-SQG not required 10 register shall maintain H$C 118296-Containers shell be washed and decontaminated 171 f 1' Information document and transportation records for 3 years. 2T. pursuant to this section. NSC 118308� Reuseable drums or conainters used for medical ❑ 12. HSC 117980-LOG shall file MUVMP with the EA. ❑ 28. waste shall not be used for other storage. HSC 117976-LOG shall Maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and ❑ 13. tracking documents for'years. 29` marked with proper signage. Tr�tnSportatilol 31), HSC 11010a;Designated accumulation area shall be secured and marked with.proper signage. ❑ 14. HSC 117948-MOT exemption requirements for SOG. ®fher ❑ 1$. HSC 117$76-MOT exemption requirements for LOG. 0 31. [] 16. HSC 118032-Pharmaceutical waste hauling-exemption. ❑ 32. del q� n Received by. Print: Cd"lATLW__ Signature: Phone: Specialist: Print: I EasterSignature: amu[- Phone: (209)953.7310 i,elnspeclon onlabout: A reinspection fee of$162 per hour may be charged. Page 1 of 2 EHA 1117