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SAN JOAQUIN LOCAL HEALTH <br /> 1601 E. HAZELTON AVENUE, P O. B09 <br /> STOCKTON, CA 95201 -- PHONE: (209 468.3420 t <br /> WASTE MANAGEMENT/SLI A INSPECTION FORM <br /> D SOLID WASTE Q INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO. <br /> QA Inspection Date <br /> Y�+7EHICI�*G&/EQUIPMENT 5CE ��i o ej't'oc nt zNC ► Z 31 q <br /> ao <br /> STR. OPER. Premise Address Recheck Dale <br /> 1. REGISTRATION (DMV) O 'Zt So L Frttvh <br /> 2. SOLID WASTE PERMIT `� THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT r <br /> 4. IDENTIFICATION I 7' ✓ ✓`a/°w' Gr <br /> A. Name (4" Height) v"' �wJ�+ 152 <br /> -pj <br /> (1" Width) l 7 �2J�a ✓// <br /> B. ID Number(4" Height)✓ 65� 'b 3� �°'' her/ D®csly'C' ✓ <br /> (1" Width) / <br /> C. Lettering bath sides y� Tli f e y�✓ �'� �/ <br /> S. CLEANING ,o4an°c! <br /> 6. MAINTENANCE <br /> 7, TAIL GATE SEAL <br /> 8. CARRY TUBES <br /> 3 u l "Z& <br /> 9. RIDE STEPS f ✓ / <br /> 10. BROOM/SHOVELy�U ( V <br /> 11. ROLL OFF COVERS # p?6 ` 6a ` <br /> 12. LEAKAGE OR SPILLAGE <br /> CONTAINERS �j <br /> 13. IDENTIFICATION over 1 yd. <br /> " r�1� -- <br /> A. Name <br /> B. Telephone Number <br /> 14. CLEANING � < // / <br /> t C 4 G f LP d'Jr c0 fs % t.w�0� <br /> 15, MAINTENANCE " <br /> 16. INSECTS ✓ <br /> YARD 5 <br /> 17. SANITATION <br /> tib. PARKING ✓ <br /> 19. WASH DOWN FACILITIES <br /> 20. HAZARDOUS WASTE S-TORAGE <br /> TIME./METHOD <br /> W f <br /> SANIT IAN C VED BY <br /> EH 08 01 <br />