117950-117995

HEALTH AND SAFETY CODE
SECTION 117950-117995




117950.  (a) Each large quantity generator, except as specified in
subdivisions (b) and (c), shall register with the enforcement agency.
Large quantity generators owning or operating a medical waste
treatment facility shall also apply for a permit for that treatment
facility pursuant to Chapter 7 (commencing with Section 118130).
   (b) Large quantity generators operating as a business in the same
building, or that are associated with a group practice in the same
building, may register as one generator.
   (c) Large quantity generators as specified in subdivision (a),
operating in different buildings on the same or adjacent property, or
as approved by the enforcement agency, may register as one
generator.
   (d) "Adjacent," for purposes of subdivision (c), means real
property within 400 yards from the property boundary of the primary
registration site.


117955.  Large quantity generators subject to Section 117950 shall
register with the enforcement agency on or before April 1, 1991, if
the generation of medical waste began prior to that date. In those
cases where the generation of medical waste begins after April 1,
1991, registration shall be completed pursuant to this chapter prior
to commencement of the generation of medical waste.



117960.  Any large quantity generator required to register with the
enforcement agency pursuant to Section 117950 shall file with the
enforcement agency a medical waste management plan, on forms
prescribed by the enforcement agency containing, but not limited to,
all of the following:
   (a) The name of the person.
   (b) The business address of the person.
   (c) The type of business.
   (d) The types, and the estimated average monthly quantity, of
medical waste generated.
   (e) The type of treatment used onsite, if applicable. For
generators with onsite medical waste treatment facilities, including
incinerators or steam sterilizers or other treatment facilities as
determined by the enforcement agency, the treatment capacity of the
onsite treatment facility.
   (f) The name and business address of the registered hazardous
waste hauler used by the generator to have untreated medical waste
removed for treatment, if applicable.
   (g) The name and business address of the registered hazardous
waste hauler service provided by the building management to which the
building tenants may subscribe or are required by the building
management to subscribe, if applicable.
   (h) The name and business address of the offsite medical waste
treatment facility to which the medical waste is being hauled, if
applicable.
   (i) An emergency action plan complying with regulations adopted by
the department.
   (j) A statement certifying that the information provided is
complete and accurate.


117965.  Large quantity generators shall be subject to at least
annual inspection by the enforcement agency.



117970.  (a) Each enforcement agency shall follow procedures
consistent with this chapter in registering medical waste generators.
   (b) Each medical waste registration issued by the enforcement
agency shall be valid for one year.
   (c)  An application for renewal of the registration shall be filed
with the enforcement agency not less than 90 days prior to the
expiration date. Failure to meet this requirement shall result in an
assessment of a late fee.
   (d) Generators shall submit within 30 days an updated application
form when any of the information specified in subdivisions (a) to
(j), inclusive, of Section 117960 changes.


117971.  In addition to the fees collected pursuant to Section
117995, the department, in the implementation of this part, shall
recover its actual costs for services related to large quantity
medical waste generator followup inspections and enforcement
activities necessary to ensure compliance with this part. In no event
shall the department charge more than the actual costs incurred by
the department.



117975.  A medical waste generator required to register pursuant to
this chapter shall maintain individual treatment, and tracking
records, if medical waste is removed from the generator's site for
treatment, for three years or for the period specified in the
regulations.



117980.  Containment and storage of medical waste shall be in
accordance with Chapter 9 (commencing with Section 118275).



117985.  Treatment of medical waste shall be in accordance with
Chapter 8 (commencing with Section 118215).



117990.  The fee schedule specified in Section 117995 shall be for
the issuance of medical waste registrations and onsite medical waste
treatment facility permits when the department serves as the
enforcement agency for large quantity generators. This fee schedule
shall be adjusted annually in accordance with Section 100425. On or
before January 1, 1993, the department may adjust by regulation the
fees specified in Section 117995 to reflect the actual costs of
implementing this chapter. Local enforcement agencies shall set fees
that shall be sufficient to cover their costs in implementing this
part with regard to large quantity generators.




117995.  The registration and annual permit fee for large quantity
generators shall be set in following amounts:
   (a) (1) A general acute care hospital, as defined in subdivision
(a) of Section 1250, that has one or more beds, but not more than 99
beds, shall pay six hundred dollars ($600), a facility with 100 or
more beds, but not more than 199 beds, shall pay eight hundred sixty
dollars ($860), a facility with 200 or more beds, but not more than
250 beds shall pay one thousand one hundred dollars ($1,100), and a
facility with 251 or more beds shall pay one thousand four hundred
dollars ($1,400).
   (2) In addition to the fees specified in paragraph (1), a general
acute care hospital which is providing onsite treatment of medical
waste shall pay an annual medical waste treatment facility inspection
and permit fee of three hundred dollars ($300), if the facility has
one or more beds but not more than 99 beds, five hundred dollars
($500), if the facility has 100 or more beds but not more than 250
beds, and one thousand dollars ($1,000), if the facility has 251 or
more beds.
   (b) A specialty clinic, providing surgical, dialysis, or
rehabilitation services, as defined in subdivision (b) of Section
1204, shall pay three hundred fifty dollars ($350).
   (c) A skilled nursing facility, as defined in subdivision (c) of
Section 1250, that has one or more beds, but not more than 99 beds
shall pay two hundred seventy-five dollars ($275), a facility with
100 or more beds, but not more than 199 beds shall pay three hundred
fifty dollars ($350), and a facility with 200 or more beds shall pay
four hundred dollars ($400).
   (d) An acute psychiatric hospital, as defined in subdivision (b)
of Section 1250, shall pay two hundred dollars ($200).
   (e) An intermediate care facility, as defined in subdivision (d)
of Section 1250, shall pay three hundred dollars ($300).
   (f) A primary care clinic, as defined in Section 1200.1, shall pay
three hundred fifty dollars ($350).
   (g) A licensed clinical laboratory, as defined in paragraph (3) of
subdivision (a) of Section 1206 of the Business and Professions
Code, shall pay two hundred dollars ($200).
   (h) A health care service plan facility, as defined in subdivision
(f) of Section 1345, shall pay three hundred fifty dollars ($350).
   (i) A veterinary clinic or veterinary hospital shall pay two
hundred dollars ($200).
   (j) A large quantity generator medical office shall pay two
hundred dollars ($200).
   (k) In addition to the fees specified in subdivisions (b) to (j),
inclusive, a large quantity generator of medical waste which is
providing onsite treatment of medical waste shall pay an annual
medical waste treatment facility inspection and permit fee of three
hundred dollars ($300).
   (l) The department may collect annual fees and issue permits on a
biennial basis.