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MEDICAL WASTEWPECTION REPORT 40 Date: <br /> San Joaquin County Environmental Health Department Program <br /> .,11 1868 E. Hazelton Ave.,Stockton, CA 95205 Record: <br /> `P (209)468-3420 Program <br /> www.siogv.org/ehd Element: y's <br /> Facility Name Address City Zip Code <br /> Doctors Hospital of Manteca 1205 e. north street Manteca 95336 <br /> Facility Contact Title Phone Number Email Inspection Type <br /> Clarence Denning Director of Environmental 209-239-8363 Routine <br /> Services <br /> The above facility is inspected for compliance with Division 104, Part 14 of California Health and Safety Code(HSC). <br /> Registration Treatment <br /> ❑ <br /> HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall 1 registered with the EA. ❑ 17. be permitted by the EA. <br /> ❑ <br /> HSC 117950-LQG shall register with the EA prior to 2 ❑ 18. HSC 118165-All treatment records shall be kept for 3 years. <br /> generating medical waste. <br /> ❑ <br /> HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to 3. medical waste. ❑ 19' this section. <br /> HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be <br /> ❑ 4. register with the EA. ❑ 20. disposed of by interment, incineration, or an approved <br /> alternative. <br /> HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo <br /> ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated <br /> under the MOT exemption. by incineration or an approved alternative. <br /> HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this <br /> El 6. issured by the EA. ❑ 22' section. <br /> ❑ 7 HSC 117890-LQG shall notify EA 72 hours prior to Containment/Storage <br /> participating in temporary event. <br /> ❑ <br /> HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth 8. participating in tempora event. ❑ 23. in this section. <br /> HSC 118275-Medical, biohazardous, sharps,trace chemo, <br /> Records/Documentation ® 24 pathology,or pharmaceutical waste shall be segregated and <br /> contained pursuant to this section. The container shall be <br /> properly labeled. <br /> ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25 HSC 118280- Biohazard bags shall be containerized and <br /> stored pursuant to this section. <br /> HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored <br /> El 10. El 26 <br /> treatment and shipping and tracking records for 3 years. ' pursuant to this section. <br /> HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated <br /> El 11. information document and transportation records for 3 years. El 27 pursuant to this section. <br /> HSC 118305- Reuseable drums or conainters used for medical <br /> El 12. HSC 117960-LQG shall file MWMP with the EA. E] 28. waste shall not be used for other storage. <br /> HSC 117975-LQG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and <br /> El 13. tracking documents for 2 years. E:1 29. marked with proper signage. <br /> Transportation ® 30. HSC 118310-Designated accumulation area shall be secured <br /> and marked with proper signage. <br /> ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other <br /> ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. <br /> ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. <br /> Received by: Print: Clarence Denning Signature: �f �/ � Phone:209-239-8363 <br /> Specialist: Print: J. Easter Signature: G �� Phone: 209-953-7310 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 4 <br />