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SAN JOAQUIN COUNTY PUBLIC HEALTH <br /> SERVICES , ENV. HEALTH qft <br /> 304 E. WEBER AVE. , STOCKTW, CA. <br /> 95202 <br /> WASTE MANAGEMENT/SLI A E INSPECTION FORM <br /> SOLID WASTE 0 INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO. <br /> gAInspection to <br /> VEHICLES/EQUIPMENT <br /> STR. OPERIC{ S®A) O O SA.� C � Rec®®Date <br /> 1. REGISTRATION (DMV) Premise Address S <br /> 2. SOLID WASTE PERMIT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT <br /> 4.IDENTIFICATION <br /> A. Name(4" Height) �( G f{< !! r.�/ES T ST T A <br /> (1" Width) <br /> Lc' c <br /> B. ID Number(4" Height) <br /> (1" Width) <br /> C. Lettering both sides �r.t, •F�t��r <br /> _® <br /> S. CLEANING res <br /> 6. MAINTENANCE <br /> _ 7. TAIL GATE SEAL <br /> CARRY TUBES <br /> 9. RIDE STEPS <br /> ._ 10. BROOM/SHOVEL !! (O 47 rE l 2(Dl htrQrJo D�. Q <br /> 11. ROLL OFF COVERS 2.1i G 4 o <br /> 12. LEAKAGE OR SPILLAGE e <br /> CONTAINERS <br /> 13. IDENTIFICATION over 1 yd.3 Alowt� <br /> A. Name <br /> B. Telephone Nu er <br /> 14. CLEANING <br /> 15. MAINTENANCE <br /> 16.INSECTS <br /> YARD <br /> 17. SANITATION <br /> 18. PARKING <br /> 19.WASH DOWN FACILITIES <br /> 20. HAZARDOUS WASTE STORAGE <br /> TIMEIMETHOD <br /> NITA IAN tiC".F1FVFD BY <br /> EH 08 01 <br />