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SAN JOAQUIN LOCAL HEALT (STRICT <br /> 1601 E. HAZELTON AVENUE, R 0. 2009 <br /> STOCKTON, CA 95201 -- PHONE; (20 ) 468.3420 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> SOLID WASTE 0 INFECTIOUS WASTE <br /> COMPUTER NO. ��� S ANSooZ <br /> PERMIT NO. DBA b� <br /> Inspection Date <br /> VEHICLES/EQUIPMENT ( . (Q,—c2 <br /> ST R. OPER. Premise�d. Recheck Date <br /> 1. REGISTRATION (DMV) (7 44 Lb S <br /> 2. SOLID WASTE PERMITOK THE ITEMS BELOW REPRESENT CODE VIONkTIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT <br /> T — 4. IDENTIFICATION c <br /> T A. Name (4" Height) (7 i,( � <br /> (1" Width) \ <br /> S. ID Number(4" Height) <br /> (1.. Width) o K � <br /> _ C. Lettering both sidesC7 <br /> 5. CLEANING QP� Nut <br /> — 6. MAINTENANCE 0< <br /> — 7. TAIL GATE SEALOK <br /> 8. CARRY TUW IV ' r <br /> — 9. RIDE STEPS 0 K <br /> 10. BROOM/SHOOV��V..rrEL — b7_1 <br /> 11. ROLL OFF Ci6VE 0� D. —� T <br /> 12. LEAKAGE OR SPILLAGE OK Zk V20 Z- O cl <br /> CONTAINERS 2- 21fl-�� � , I <br /> 13. IDENTIFICATION over 1 yd.3 <br /> _ A. Name <br /> B. Telephone Number <br /> 14. CLEANING <br /> _ 15. MAINTENANCE <br /> _ — 16. INSECTS <br /> YARD <br /> 17. SANITATION Q� <br /> 18. PARKING 10 <br /> 19. WASH DOWN FACILITIES t! ltto" <br /> _ 20. HAZARDOUS WASTETORAGE <br /> TIME/METHOD <br /> ,A — <br /> AM', <br /> SA ITARIAN IROPEIVED B <br /> -- <br /> EH 08 01 <br />