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Q,OP4cOG�. S A NUJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> [NAME OF FACILITY: INSPECTION DATE: ZREMISE ADDRESS: I CITY: C ZIP CODE:WNER/OPERATOR: ` � TELEP E: <br /> VI <br /> PROGRAM ELEMENT: j PROGRAM RECOI <br /> E4 �Cj INSPECTION TYPE: REINSPECT BY: <br /> V RV # Code Pumper Trucks/Yards The items below present health code violations and must be corrected: <br /> Section / �J <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION ✓ / y <br /> HSC 117405 (,,��} I y <br /> SJC 9-1110.8; 'r' I Ir 1 � 13 VA O <br /> 2 MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> 3 SJLDR(5) IDENTIFICATION OF VEHICLES: ' <br /> a)3 INCH:NAME,ADDRESS AND CAPACITY <br /> b)61NCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 <br /> 4 a)METAL CONSTRUCTION <br /> SJLDR(9)(A) b)LEAK PROOF VALVES r G A/�nn <br /> C)MANUAL VALVES S r 1C a <br /> d VALVE LOCATION 19 s. oei4 <br /> HSC 117420 <br /> 5 PUMP: <br /> SJLDR(9)(B) No LEAKAGE,SPILLAGE OR SPLASHING. Al a � s <br /> HSC 117420 HOSES: q� <br /> 6 a)AVAILABLE AND ADEQUATE. <br /> SJLDR(9)(C) b)CLEAN AND WATERTIGHT. cla <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) i <br /> 8 HSC 117420 YARD: <br /> CCC <br /> SJLDR(3) SANITARY AND ADEQUATE. / '(io W 1117L <br /> ✓—S <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) AreC <br /> 14 <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS �"') !S s 'C P <br /> 5 OWDS 11.8 UNSANITARY CONDITION (/ <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 <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SQ.FT.) d r� <br /> OWDS 11.1 FLOOR AREA W/OUTURINAL(8SO,Fr.) tt" <br /> 10 OWDS 11.1 SUFFICIENT SPACE. U �- C <br /> 11 OWDS 11.9 LETTERING HEIGHT 3 INCHES <br /> r <br /> EI BY: �ISjLE:uO�I I F-_ DATE-95- <br /> PHONE: <br /> 5- <br /> PHONE: �I� - ,L � -/� 1 DATE- (7pC/ <br /> V=Violation; R epeat olation SErE RE ERSE SIDE FOR ADDITIONAL INFORMATION (J G' PAGE:11 OFF_ <br /> EHD 42-020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />