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�e+4t�lllv.. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> or . 11 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> t1�8R�' <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: A; V1 j_ '+'u,R& <br /> rN_?b H e- I"�� 5ery S � INSPECTION DATE: t z L� <br /> PREMISE ADDRESS: T L� CITY: O _I40-A ZIP CODE: <br /> OWNE OPERATOR: tAQ TELEPHONE: j , 1 b S <br /> PROGRAM ELEMENT: q2_ It PROGRAM RECORD: ly Z INSPECTIONTYPE: �� �r RIE•INSPECT�BfY: <br /> V RV # Code Pumper Trucks/Yards 't <br /> Section The items below resent health code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION I -6 TI TT) 4 j�z g <br /> HSC 117405 <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS 7 8 � 2 <br /> HSC 117435 ,C I <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)31NCH:NAME,ADDRESS AND CAPACITY /� <br /> b)61NCH:REGISTRATION NUMBER '&14 <br /> TANK: <br /> HSC 11 8)METAL CONSTRUCTION /Z1 <br /> 4 SJLDR 7420 7420 b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> L <br /> 5 HSC 117420 PUMP: ^ <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. (tel/ S 0WVLQ <br /> c <br /> HSC 117420 <br /> HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. 0, <br /> b)CLEAN AND WATERTIGHT. <br /> oq <br /> HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS <br /> 6 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) �n <br /> 2 OWDS11.10 STORAGESITE 1U04-e-1 l.�Q-• <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <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 SMOOTWEASY TO CLEAN` <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.Fr.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 So.Fr.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 31NCHES <br /> RECEIVED BY: TITLE: Cf j DATE: / Z r7 <br /> RENS: PHONE: 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 />