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06/11/2003 07:38 209-46 72 SJC PUB HEALTH - VI' PAGE 02 <br /> - Date <br /> • Prog Elem <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.VNeber Ave.,209ir Floor Stockton,CA 95202 9-, <br /> 'Ih' <br /> MEDICAL WASTE INSPECTION FORM <br /> Facility Address Qt <br /> Facility Name `~�` `-Gr r----� <br /> Title Phone <br /> #, <br /> Facility Contract r CReinspection <br /> INSPECTION TYPE: outine <br /> pComplaint <br /> VIOL•ATION(S) <br /> THE ITEMS BELOW REPRESENT VIOLATIONS <br /> I ATIOCOD (HSC} 'THE CALIFORNIA <br /> Registration HEALTH & <br /> 1.H$C Section 197955-l2rge Quantity <br /> Generator shall register with the enforcement <br /> agency®riot to cmmmencement of the an ratio , l <br /> me ' I t,�ste, � <br /> 2.MSC Section 1 required9to it from he <br /> enforcement agency <br /> dical <br /> waste. <br /> _3.HSC Section 117890-No large LOG shalt <br /> generate medkel waste unless registered with <br /> the enforcement agency. <br /> 4.HSC Section 117895-SQG that treats mad <br /> waste shall register with enforcement agency. <br /> _,•5.HSC Section 1179oo-Shell not haul mad <br /> waste unless registered or obtained LOHE. <br /> —B.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. <br /> 7.HSC Section 117908-Common Storage <br /> faculty shall be registered with i=i enforcement <br /> agency. <br /> Procedures <br /> �S.HSC Section 117935-SQG MWMP <br /> 9.HSC Section 117943-SOG Shall keep <br /> records for 3 years. <br /> 1o.HSC Section 117945-SQG not required to <br /> _ <br /> star <br /> p records for 2 years, <br /> 9111 HSCiSecOon i111960-LQG shall file <br /> MWMP with enforcement agency. <br /> ,,/12.1-1SC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> _13.HSC Section 118030-LQHI:application. <br /> Treatment/Storage <br /> _14.HSC Section 118135-Shall obtain a <br /> permit from the enforcement agency to treat <br /> medial wasteor t trea'na thc-waste,, <br /> 15.HSC SecgdOn 118785-AI)treatment <br /> records shall be kept for 3 years. <br /> _16.HSC Section 118215-A11 medical waste <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recogniz2ble <br /> Ru—man anatomical parts shall be disposed of by <br /> interment unless otherwise harardous. <br /> 18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public.access. <br /> 19.H$C Section 118275-MW red bags,path, <br /> diene shall be labeled properly. <br /> 20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps iabeUcontain <br /> 22.HSC Section 118295-Proper decor used. <br /> =23.HSC Section 118310-Enclosure labeled. <br /> 24.HSC Section 8305-Cannot muse $ <br /> 25.HSC Semon 117630-Approved blahs az <br /> Fig-used. <br /> 26.Other .be In narrative. Insper ignatur Recei ed By <br />