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SAN JOAQUIN COUNTY Date 101-aha <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR clAwooll <br /> 0. 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacifityName hoc, b r s 6MtAfh tq,, FacilityAddress Uib& E. No A)a4Q_C--' <br /> FacilityContact C&A 53A*6 -Titl i Jcukoi, afi EN5uv:U& Phone#(avq)r�3 <br /> 1-1 <br /> INSPECTION TYPE: outine ElComplaint 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 o <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the -j <br /> ;_nforcement agency required to treat medical <br /> waste. A <br /> —3.HSC Section 117890-No large LQG shall '�)O'Afj)S. _f1VA4Z, L)aa�� �Z 1A (jV%j-A0. r <br /> generate medical waste unless registered with the n <br /> enforcement agency. MJL/n Ck +lt rv,- <br /> — <br /> —4.HSC Section 11 7895-SQG that treats med mwL� �)Whk-tu i&k �atA , Tcvjtva <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med U-, Mr-,-siu 101 14 LQ 1.j ijA <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med itl3u,t jA ch,6A a 'VVbmlj w1Vcn y,- 44 jA o 110 <br /> waste without permit from enforcement agency. <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> room <br /> agency. In 41-u- (_T sumn t MQ_T_ <br /> Procedures JQ J& W tIV t' <br /> —8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep 0 L14A�i'O till A b GOLAA;no <br /> records for 3 years. -SQG not required to r�w �AyL. t,A )h)bA,k+,,,J jujS sIn±A- rW <br /> —10.HSC Section 117945 4. <br /> register shall keep records for 2 years. -'0iU gA.i roo, <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> �ith enforcement agency. sw <br /> 'hu It Uat <br /> —12.HSC Section 117976-LQG shall keep �Xttj"A <br /> records for 3 years. IA4.37 LIZ& Vo <br /> Transportation NO),-1113- <br /> -13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> 14.HSC Section 118135-Shall obtain a permit <br /> Tromi the enforcement agency to treat medical T"�a ?Iry LZ uj�\ Cq <br /> waste prior to treating the waste. CLh <br /> J,�,,jQbAVA' <br /> 15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. 6�z <br /> 16.HSC Section 118215-All medical waste <br /> h 'k <br /> shall be treated pursuant to this section. tc1p 4 <br /> __17.HSC Section 118220-Recognizable human h, O'n <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. Con r\"tC_' uu)::) <br /> —18.HSC Section 118225-Treated sharps shall <br /> b destroyed or somehow prevent public access. A0! �VA;00'� 1)1, CIS <br /> 19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. L�NW <br /> —20.HSC Section 118280-MW label&contain <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. <br /> —27.HSC Section 118275(g)-Pharm label/store <br /> —28.HSC Section 118222-Incineration Required InspEQtor Signature Reklved By U ID aTe <br /> 29 Other-Describe in narrative. <br />