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MEDICAL WASTASPECTION REPORT Date: )7-11115 <br /> y San Joaquin County Environmental Health Department Program <br /> 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: <br /> P (209)468-3420 Program <br /> \ifioRN� www.soogv.org/ehd Element: <br /> Observations and Corrective Actions: <br /> 12. The medical waste management plan(MWMP) does not contain all information listed in HSC 117960. <br /> - MWMP shall contain all information listed in HSC 117960. HSC117960—Review and revise MWMP as needed <br /> and submit by 1/2/2016. <br /> 13. This registered large medical waste generator does not maintain individual treatment records and tracking <br /> documents for 2 years. <br /> - A large medical waste generator required to register with the EHD shall maintain individual treatment operation <br /> records and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. <br /> HSC117975(a)— Facility was missing proper treatment and tracking records for pickups done by Stericycle in <br /> January and February. From March 2015 forward,facility has proper treatment and tracking records for <br /> pickups done by Stericycle and Daniels Sharpsmart Inc. No corrective action needed. <br /> 24. Pharmaceutical waste container located in the procedure room was not labeled properly. <br /> -Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a <br /> container or secondary container labeled with the words "HIGH HEAT" OR"INCINERATION ONLY" on the lid and <br /> sides, so as to be visible from any lateral direction. HSC 118275(a)(6)(B)—Pharmaceutical waste containers stored <br /> in interim storage area in the Surgery building were missing labels on the lid. Add labels and submit evidence <br /> of compliance by 1/2/2016. <br /> Notes: <br /> 1.) Facility uses Daniels Sharpsmart Inc. for removal of pharmaceutical and biohazardous sharps waste. <br /> Biohazardous sharps and pharmaceutical waste is consolidated in pharmaceutical waste containers which are <br /> picked up weekly by Daniels Sharpsmart for incineration. <br /> 2.) Facility uses Stericycle for the removal of biohazardous waste. <br /> 3.) Facility's small biohazardous waste bags meet ASTM D1709. All of the small biohazardous waste bags are <br /> placed into large biohazardous waste bags which meet both ASTM D1709 and ASTM D1922 before being <br /> stored in the designated accumulation area for pickup by Stericycle. <br /> lyz <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-08/2015 <br />