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oPqU!^!, c SAN JOAQUIN COUNTY Date IEa-a�1 `!r3 <br /> ENVIRONMENTAL HEALTH DEPARTMEIP PR_5�L IS6D <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> P• <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName� ,s ���> FacilityAddress o�s®-T- 41 C-6-,m ty o Li <br /> FacilityContact " - Title ✓ Phone#a�-C®6 -���3 <br /> INSPECTION TYPE: routine []Complaint []Re-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. a <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical44AI <br /> I <br /> waste. �r <br /> _3.HSC Section 117890-No large LQG shall L L v <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 o <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.HSC Section 117908-Common Storage <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures - <br /> 8.HSC Section 117935-SQG MWMP <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. `e nL AA l <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years. �a ��,�� gyp r ��� ✓1 ^ - <br /> _11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. i <br /> 1,L-42.HSC Section 117975-LQG shall keep <br /> records for 3 years. r <br /> Transportation A(L2 }-�,�d��,� `l <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 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 /> bag used. / <br /> _27.HSC Section 118275(8)-Pharm label/storeC hKi eyL M-73 <br /> _28.HSC Section 118222-Incineration Required S O Signature eive y Date <br /> 29 Other-Describe in narrative. <br />