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PaU!!v SAN JOAQUIN COUNTY 40 Date 11 gho <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR 01493004 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> ®R�`P MEDICAL WASTE INSPECTION FORM <br /> cifl e�t5r's �o kt 6 muni,uA. FacifityAddress <br /> acili Co a Cnc x S��nu1�� —Titlefxy-S€1)I)je_% 44.,, or Phone# UIAM <br /> INSPECTION TYPE: ti []Complaint EiRe-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 /> medical2HS S <br /> waste. i9l l 'j1 kjd) a <br /> .HSC Section 117903-Permit from the n COLO is <br /> enforcement agency required to treat medical ® ® r <br /> waste. <br /> 3.HSC Section 117890-No large LQG shall 0 N 4. " tICXA1� <br /> generate medical waste unless registered with the 1, j i om l &n g .�Le19 so' u�i�9�tii <br /> enforcement agency. -t� u <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. f i 1 <br /> _7.HSC Section 117908-Common Storage T w i' <br /> facility shall be registered with local enforcement11 QC �t 17h .. 1 1 <br /> agency. <br /> Procedures (e ®c. 41 lc. CC-LOJai MIA4 11L. <br /> _8.HSC Section 117935-SQG MWMP ' k-1 Indr TS . Gl <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. to �1'1 <br /> _10.HSC Section 117945-SQG not required to <br /> re aster shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> h enforcement agency. <br /> 1 — �tiS�c. 'M wry MG IZ �(A(\ <br /> 12.HSC Section 117975-LQG shall keep .m " <br /> records for 3 years. <br /> Transportation O le., o r c' iO <br /> _13.HSC Section 118030-LQHE application. i 0 <br /> Treatment/Stora e <br /> _14.HSC Section 118135-Shall obtain a permit i (Q,m® ocn <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. 0,;sS nr, Ao 1 <br /> _15.HSC Section 118765-All treatment records �� 0 •,� ,� �� <br /> shall be kept for 3 years. 1. <br /> _16.HSC Section 118215-All medical waste i <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment r <br /> unless otherwise hazardous. �- u 't C , LU <br /> _18.HSC Section 118225-Treated sharps shall 9 (` <br /> be destroyed or somehow prevent public access. <br /> _�Sj9.HSC Section 118275-MW red bags,path, rcrM <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain u9® o 1 <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.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard <br /> bag used. e <br /> _27.HSC Section 118275(g)-Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Inspedor Signature Re el ed By at <br /> 29 Other-Describe in narrative. <br />�w <br /> PALE a <br />