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1' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: / <br /> �i` (app S �uwP• E)CL INSPECTION DATE: sit, 201 <br /> PREMISE ADDRESS: �d Z,Z� Z CITY: ZIP CODE: <br /> S- <br /> OWNER/OPERATOR: G-Q fJTELEPHONE: <br /> �- . <br /> PROGRAM ELEMENT: i e1q <br /> PROGRAM RECORD: O1 ^/!�� INSPECTION TYPE: REINSPECT BY: <br /> V RV # Code Pumper Trucks/Yards <br /> Section [Thew resenthealth code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION •�..rfs <br /> HSC 117405 <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS4;11 ®Q • F <br /> HSC 117435 <br /> 0x <br /> IDENTIFICATION OF VEHICLES: x1`51)1-1 aDa !3a <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY v( i/V <br /> b)61NCH:REGISTRATION NUMBER <br /> TANK: ! <br /> HSC 117420 a)METAL CONSTRUCTIONTLs <br /> 4 b)LEAK PROOF VALVES <br /> SJLDR(9)(A) C MANUAL VALVES <br /> d)VALVE LOCATION <br /> 5 HSC 117420 PUMP: <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC 117420 HOSES: a uc H P j �O 2 S SGA <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS 1-16 <br /> e 4.-j stip T ez / G1 <br /> 6 HSC 117420 YARD: n-w le., � <br /> SJLDR(3) SANITARY AND ADEQUATE. s �J <br /> CHEMICALTOILETS � �� <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MM.) v`�� Fes• J1L- <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION G� <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 6 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN,* <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 50.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3 INCHES <br /> RECEIVED BY: TITLE: DATE: <br /> RENS: PHONE: 2o�V 107 7 1-1"1 DATE: <br /> V=Violation;RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />