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SAN JOAQUIN LOCAL HEALTH QJTRICT <br /> 160T E, HAZELTON AVENUE, P 0. BO 9 `'- <br /> STOCKTON, CA 95201 -- PHONE: (209) 468-3420 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> (P( SOLID WASTE O INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO. <br /> DBA Inspection Date <br /> VEHICLES/EQUIPMENT 2 ?a <br /> STR. OPER. Premise Address G vG t✓r( es Rech k Date <br /> 1. REGISTRATION (DMV) Q 3 LaL 1 0 3o <br /> — 2. SOLID WASTE PERMIT THE ITEMS BELOW REPRES NT CODE VI0(ATIOFfS AND MUST BE CORRECTED: <br /> _ 3. INFECTIOUS WASTE PERMITYLL <br /> 4. IDENTIFICATION (-,A r1 1�`} -3 <br /> T A. Name(4" Height) 1 990 O t o <br /> (1" Width) <br /> B. ID Number( Width)Height) <br /> (11" ��LA` c. r!'0 &f;>4 <br /> C. Lettering both sides Vn- A v L�d/(A-o a <br /> 5. CLEANING <br /> 6. MAINTENANCE <br /> 7. TAIL GATE SEAL <br /> _ 8. CARRY TUBES -0Ile .�► O c.c s x4 <br /> 9. RIDE STEPS ✓� O » C <br /> _ 10. BROOM/SHOVEL <br /> 11. ROLL OFF COVERS J ✓ ✓2-'� c `� p fit'K ` �- L (G c <br /> 12. LEAKAGE OR SPILLAGE la Cl a C- t-',) <br /> CONTAINERS <br /> 13. IDENTIFICATION over 1 yd.3 b�, 1 C� 1 D <br /> A. Name n42) <br /> B. Telephone NumberL � .rte <br /> — 14. CLEANING �b S 0.,l D /� It t..( � Rl 9 u vt i <br /> 15, MAINTENANCE �'� �--! u+ I/ <br /> _ — 16. INSECTS <br /> YARD �r <br /> O ✓L 2 ✓Lr w-. t ---- <br /> 17. SANITATION / <br /> — 18. PARKING I so �. a l� Ll d It 6/ 1f e- G r Cs(c <br /> 19. WASH DOWN FACILITIES <br /> 20. HAZARDOUS WASTE STORAGE <br /> TIME/METHOD `'t <br /> SANITARIAN RECEMD BY <br /> EH 08 01 <br />