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MEDICAL WASTASPECTION REPORT Date: 1211 A S San Joaquin County Environmental Health Department Program / ` 1868 E. Hazelton Ave.,Stockton,CA 95205yQ�QO \ Record: d c (209)468-3420 Program \F. Rwww.siogv.orq/ehd Element: i S Z-0 Facility Name Address City Zip Code Sutter Gould 2505 w.hammer lane Stockton 95209 Facility Contact Title Phone Number Email Inspection Type DwainBaughman Supervisor (209)606-7313 baughmand@sutt Routine erhealth.org The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Y ,. ti a t t r it aY=n. 9 ?�i r, C ru w: R .Sll qt x x � Ot JEEJ �h uHSC 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. HSC 117950-LQG shall register with the EA prior to2. generating medical waste. 18. HSC 118165-All treatment records shall be kept for 3 years. HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to El 3' medical waste. El 19. this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4. register with the EA. ❑ 20. disposed of by interment, incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this ❑ 6' issured by the EA. ❑ 22' section. ❑ HSC 117890-LQG shall notify EA 72 hours prior to p QK 9 ahri� 94a 7' participating in temporary event. . p P 9 P rY a= HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth El 8' participating in temporary event. El 23' in this section. x �� tigr r HSC 118275-Medical,biohazardous,sharps,trace chemo, ® 24. pathology,or pharmaceutical waste shall be segregated and Recgrds/Daoumen tion i py g wcontained pursuant to this section. The container shall be h. �� ` �.. � �. :� �.>�: .�; properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored EI 10. treatment and shipping and tracking records for 3 years. ❑ 26' pursuant to this section. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated El 11. information document and transportation records for 3 years. El 27' pursuant to this section. ® 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical waste shall not be used for other storage. HSC 117975-LQG shall maintain treatment and shipping and 29' HSC 118307- Intermediate storage area shall be secured and ® 13. tracking documents for 2 years. ❑ marked with proper signage. Transpoatlon wl, � El 30. HSC 118310-Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Qtiter `~u ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print Dwain Baughman Signature: M*.z�,eE�. Phone:(209)606-7313 Specialist: Print: Harprit Mattu,Sr REHS Signature: Phone:(209)468-3284 Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 EH-08/2015