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SAN JOAQUIN COUNTY Date S/5-0 III <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR OqSOWH <br /> to. X 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> eQ�i..... . 4 MEDICAL WASTE INSPECTION FORM <br /> FacilityName f3iAr.!, d si 1 Murkeu- FacilityAddress i;libS C Nom, d, <br /> FacilityContact ML&xi-, SL6&-t Title WitAD <br /> �N-SVvillL Phone#rq oej- <br /> Aa3l <br /> -.1 <br /> INSPECTION TYPE: Routine iiComplaint oRe-Inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> 1.NSC 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 /> medical waste. <br /> 2.HSG Section 117903-Permit from the <br /> e—nforcement agency required to treat medical 4tAl De <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall Lo-'±ai me: InIA4L 1� Is X(Za(4 <br /> generate medical waste unless registered with the <br /> enforcement agency. it-ok" cA 11 ItA- <br /> -4.HSC Section 117895-SQG that treats med \3 <br /> O'nih 01A�—QA--� j <br /> waste shall register with enforcement agency. <br /> 5.HSC Section 117900-Shall not haul med rno' dlktj W; <br /> � 3th V'' 0, f <br /> ) (hLy') <br /> waste unless registered or obtained LQHE. <br /> 6.HSC Section 117903-Shall not treat med 6-('nj lejymn <br /> waste without permit from enforcement agency. <br /> - THSC Section 117908-Common Storage <br /> Ta(Tility shall be registered with local enforcement !r <br /> agency. '0 <br /> Procedures t)\ jk)g� ,&L <br /> nL%-A L 001 JrYA�I 6,J(MA <br /> 8.HSC Section 117935-SQG MVVMP <br /> 9.HSG Section 117943-SQG Shall keep <br /> 113 <br /> records for 3 years. <br /> 10.HSC Section 117945-SQG not required to 'un W()VU-tIAj&A <br /> register shall keep records for 2 years. I-,nA ov,�A vr l <br /> ),A 'AIA g , (A3f-1t01V' <br /> I P153A L <br /> —11.HSC Section 117960-LQG shall file MWMP J "-I <br /> with enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep <br /> records for 3 years. <br /> Transportation <br /> —13.HSC Section 11 8030-LQHE application. <br /> Treatment/Storage 14 <br /> Al <br /> 14.HSC Section 118135-Shall obtain a permit 0 4,(r,4A -�Juy <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. wla�\ C)hpljw <br /> 15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. 1), s -A <br /> P10A Inl b oh- JL' <br /> 16.HSC Section 11 18215-All medical waste UAXV C&�j �,ricj M4-A <br /> (111AAA <br /> shall be treated pursuant to this section. <br /> --ITHSC Section 118220-Recognizable human a 1 AALb -w <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. A AA (A I 1A A A eA 51L LVIL&ALe-n <br /> I S.HSC Section 118225-Treated sharps shall <br /> be,destroyed or somehow prevent public access. (0191 <br /> 0'r'49.1-13C Section 118275- jjd bags,path, <br /> enh,grno shall be labeled propeRx.U <br /> O.HSG Section 118280-MW label&contak 0 <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 /> ba used. <br /> 27.HSC Section 118275(g)-Pharm label/store <br /> —28.HSC Section 118222-Incineration Required InspWctor Signature We&ived By Da e <br /> 29 Other-Describe in narrative. ?R66 'L <br />