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SAN JOAQUIN COUNTY Date <br /> ENVIRONMENTAL HEALTH DEPARTMENT PR_DIAS bbn <br /> 1868 East Hazelton Ave., Stockton, CA 95205 <br /> (209)468-3420 <br /> ....... MEDICAL WASTE INSPECTION FORM <br /> Fad1ityNamej)ixA,3,,- o�&r ((N-xkw, FacilityAddress ffV+erj1. <br /> FacilityContact Mugg, C-,j)61k1 TitIe %scAy J Cn-y-<xMctc Phone#ft—aal&—� <br /> INSPECTION TYPE: 1KRoutine 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 <br /> medical waste. V <br /> 2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical b C. fa— <br /> waste. <br /> —3.HSC Section 117890-No large LQG shall k AXSA7,0. I <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> —4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> —5.HSC Section 117900-Shall not haul med K-Jit4\ <br /> waste unless registered or obtained LQHE. <br /> —6.HSC Section 117903-Shall not treat med <br /> waste without permit from enforcement agency. 'AAd-', PuSN <br /> THSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures Lk- 'Fo-"60 �SLW -%L% S x4A-IA <br /> SMSC Section 117935-SQG MVVMP <br /> —9.HSG Section 117943-SQG Shall keep <br /> records for 3 years. v4(i1A'4a ("0-r�+W4 <br /> —10.HSG Section 117945-SQG not required to <br /> register shall keep records for 2 years. &'ev� <br /> 11.HSC Section 117960-LQG shall file MVVMP <br /> �ith enforcement agency. <br /> —12.HSC Section 117975-LQG shall keep \j <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.HSG Section I I 8765-All treatment records <br /> shall be kept for 3 years. <br /> 16.HSC Section 118215-All medical waste <br /> -sh—all be treated pursuant to this section. <br /> - --17.HSC Section 113220-Recognizable human <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> I 8.HSG Section 118225-Treated sharps shall <br /> bedestroyedor somehow prevent public access. <br /> 19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled property. <br /> 20.HSG Section 118280-MW label&contain <br /> —21.HSG Section 118285-Sharps label/contain <br /> —22.HSC Section 11 8295-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 /> 26.1-11SC Section 117630-Approved biohazard <br /> bag used. 1-141 16 ko I/ <br /> 27.HSC Section 118275(g)-Pharm labellstore <br /> —28.HSC Section 1118222-Incineration Required I SP46rftnature Re el d By ate <br /> 29 Other-Describe in narrative. O A(fia <br />