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SAN JOAQUIN COUNTY Date LO 3'13 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR oxkSOD <br /> Aj <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> X <br /> (209)468-3420 <br /> 0 MEDICAL WASTE INSPECTION FORM <br /> FacilityName_Wurs �o*�(A a(%Arc& -FacilityAddress Qos E,• NuA\ MLns acAu <br /> FacilityContact M"j\ Title(Nfrwka s o4 Ex\-i- -(Pj o'ctl- Phone#66bl344 N3 <br /> INSPECTION TYPE: [ARoutine oComplaint olke-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 tt <br /> medical waste. <br /> 2.HSC Section 117903-Permit from the -T�\L OJ (A <br /> 'en_forcement agency required to treat medical CA Z- 0ce <br /> waste. <br /> 3.HSC Section 117890-No large LQG shall AA sinfy' <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> —4.HSC Section 117895-SQG that treats med Ta 0'at'6wk !,6ae, MC4-n(A�CZ5� kign 1AAA <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 /> 7.HSG Section 117908-Common Storage PK(A t A ' <br /> OIU114�j <br /> facility shall be registered with local enforcement <br /> agency. L66a,' <br /> Procedures <br /> 8.HSC Section 117935-SQG MWMP <br /> —9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. <br /> —10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> �with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 118030-LQHE application. <br /> Treatment/Storage <br /> —14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> 17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> __18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> —19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> —20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118286-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 —_-6jk0y1_- zo <br /> —28.HSC Section 118222-Incineration Required Inspktor Signature Freceived By ba <br /> 29 Other-Describe in narrative. <br /> A <br />