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UV <br /> SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR Q45 (VO!j <br /> 600 East Main Street, Stockton, CA 95202 <br /> U): (209)468-3420 <br /> 0 MEDICAL WASTE INSPECTION FORM <br /> Facility arae (tea,/s l q-/D;�A rh Nvr&,toilityAddress I ao-S 51. <br /> FacilityContact—mal clua Tit:IeY,0j,5qkt, D)rLJvj^ Phone# X39- <br /> INSPECTION TYPE: KRoutine ElComplaint EiRe-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.HSC Section 117965-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the AIIJ211121171A leas a 1 la�=]M -"tj2la�f- <br /> enforcement agency required to treat medical CAS t-(A Q. LA <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall Af uA %riutm, s AF 11q (oom 'S�6u SIN Cl <br /> generate medical waste unless registered with the -j I A"�N <br /> enforcement agency. X i U& (U-Im' [L't'2 AAA 11 mar�) <br /> —4.HSC Section 11 7895-SQG that treats med mql131,11U UU14L, <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. <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures 4)ry-�qk o) 31 <br /> LU&�'E� k 11 . k �A�C_ <br /> —8.HSC Section 117935-SQG MWMP clAaA"rc, LM IL IL� A 4c QVrQT)-,,0 C+lntr- <br /> -9.1-11SC Section 117943-SQG Shall keep <br /> records for 3 years. him C+records C&I Lk,)CA LVQ (),n <br /> ----:10.HSC Section 117945-SQG not required to 1) kl-N( It <br /> 0j, � !S�\ <br /> register shall keep records for 2 years. (A <br /> 11.HSC Section 117960-LQG shall file MWMP L--t <br /> �ith enforcement agency. ve or) <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation 100S., Vwt' JLT-st <br /> —13.HSC Section 118030-LQHE application. t I No 1c,6A111,11A <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit WN Ila Z1,-An Lo-4w' <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. %kjv,6k-&" or '4 a-PA <br /> 15.HSC Section 118765-All treatment records lI CA t-N�Vv-, UT e,"A,, jggrv- <br /> sh—all be kept for 3 years. an:�a ' A <br /> —16.HSC Section 118216-All medical waste <br /> shall be treated pursuant to this section. <br /> —17.HSC Section 118220-Recognizable human ia�a�fA zAft, <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. Irl'tY. <br /> 18.HSC Section 118225-Treated sharps shall L AA <br /> be destroyed or somehow prevent public access. a4g-31015A 1"06XY-41A ( kia(I <br /> —1 9.HSC Section 118275-MW red bags,path, LI'S kjons so <br /> ctLemo shall be labeled properly. <br /> if\ \ <br /> 20.HSC Section 118280-MW label&contain 1r"-WV Scam wr- ulue- CA fa(L I <br /> 21.HSC Section 118285-Sharps label/contain -�a tl <br /> 22.1-11SC Section 118295-Proper decon used. L041A,110'r I JAVN <br /> � <br /> -6�-23.1-11SC Section 118307-interim storage labeled <br /> 24.HSC Section 118310-Enclosure labeled. 6ANJ C. Lo -0 LL 12 11 <br /> �ZMHSC Section 118305-Cannot reuse drums <br /> i 26.1-11SC Section 117630-Approved biohazard <br /> bag used. <br /> —27.HSC Section 118275(8)-Pharm label/store <br /> —28.HSC Section 118222-incineration Required InspaFor Signature Received By Date <br /> 29 Other-Describe in narrative. <br /> 4� <br />