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r <br /> SAN JOAQUIN LOCAL HEALTH RICT <br /> 1601 E. HAZELTON AVENUE, P. 0. BOX <br /> STOCKTON, CA 95201 -- PHONE; (209) 4683420 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> X SOLID WASTEIl 0 INFECTIOUS WASTE <br /> COMPUTER NO.. [ZW <br /> PERMIT NO., <br /> eA InapWion Date <br /> VEHICLES/EQUIPMENT ` t,_ 8 M <br /> STR. OPER. Recheck Date <br /> Premise Address <br /> 1. REGISTRATION (DMV)1 NE ,fit <br /> 2. SOLID WASTE PERMIT O< THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT4 <br /> 4. IDENTIFICATION y E <br /> T A. Name(4" Height) 0 q <br /> (1"Width) <br /> B. ID Number(4" Height)0 -2 <br /> 0" Width) OK <br /> C. Lettering both sides 0 <br /> 5. CLEANING Cu' Z <br /> 6, MAINTENANCE 0< <br /> 7. TAIL GATE SEAL (5K ---- <br /> 8. CARRY TUBES NIIA- <br /> 9. RIDE_ STEPS I✓` <br /> c <br /> 10. BROOM/SHOVEL v K 2—O ��^qqI t 1 17- 2 k,Lk\ rj <br /> _ 11. ROLL OFF C VERPS ?-C) `C1 11 2, <br /> 12. LEAKAGE OR SPILIAGEoK 5 -2-6 / — <br /> CONTAINERS <br /> 13. IDENTIFICATION over 1 yd.3 <br /> — A. Name 0 <br /> _ B. Telephone Number ID <br /> _ 14. CLEANING pLl/ 436 <br /> �r L t� C) <br /> 15. MAINTENANCE !)� Ly.kl �J <br /> 16. INSECTS 0 V� 1 `t <br /> YARD <br /> 17. SANITATION OK <br /> 18. PARKING 6X <br /> — 19. WASH DOWN FACILITIES oK <br /> 20• TIME/METHOD DUS 0T,E_STORAGE NjEw ` _ jus�_(� ry � �\ �Mh `Ar , <br /> 4. . ] . <br /> 0A 0""' <br /> SA A 1 IAN RECEIV BY <br /> EH 08 01 <br />