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on4ut" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT SCANNED <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ;.., �• Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> cl' gbt` <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: I SPECTION DATE: I Z� <br /> s4 <br /> PREMISE ADDRESS: �0 j AveITY: O ; IP CODE: 1 <br /> 91c <br /> OWNER/OPERATOR: 1,� r,l C) �o r J TELEPHONE: If S ?_ O Q q <br /> PROGRAM ELEMENT:L_� aLj_L�/ PROGRAM RECORD: O � --a INSPECTION TYPE: h REINSPECT BY: <br /> I <br /> V RV # Code Pumper Trucks/Yards <br /> Section IF <br /> ow resent health code violations and must be corrected: <br /> SJC 9-1110.8; <br /> 1 HSC'.117405 VALID PERMIT/REGISTRATION 2SJC 9-1110.8; MONTHLY PUMPING REPORTS 5 D >f !g 14 <br /> HSC 117435 C <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a 3 INCH:NAME,ADDRESS AND CAPACITY (l• v l ✓�Q <br /> x /' <br /> INCH:REGISTRATION NUMBER <br /> I0. X15 77Ar&AA <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 b)LEAK PROOF VALVES Ra <br /> SJLDR(9)(A) C)MANUAL VALVES I� rre- �{/ <br /> d)VALVE LOCATION I l� --e 'x` <br /> HSC 117420 PUMP: 0'o' <br /> 5 SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC 117420 Hoses: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <br /> 8 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS --- <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> �^p r <br /> 2 OWDS 11.10 STORAGE SITE C.d S ) O <br /> 3 OWDS 11.7 DISPOSAL SITE r qvy b A r <br /> 4 OWDS 11.6 TYPE OF CHEMICALS N <br /> Ila <br /> 5 OWDS 11.8 UNSANITARY CONDITION v <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN el <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 So.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 31NCHES <br /> RECEIVED E3 _,._ _ T. JLE.PT <br /> REHS: PHONE �/ry' DATE: <br /> lv b <br /> V=Violation; RV= epeated Vi lati SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />