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SAN JOAQUIN LOCAL HEALTHTRICT <br /> 160T E. HAZELTON AVENUE, P. 0. BOMM9 <br /> • tTOCKTON, CA 95201 -- PHONE; (209) 468.3420 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> T`SOLID WASTE O INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO, <br /> DBA Inspection Date <br /> VEHICLES/EQUIPMENT <br /> STR. OPER. .a.�f vt � i*-*—c��., S eck Dat. -0Premise Address a 11 <br /> 1. REGISTRATION (DMV) I^7 2 S p M <br /> 2. SOLID WASTE PERMIT THE ITEMS BELOW REPRESENT COA VIOLATIONS AND MUST BE CORRECTED: <br /> 3, INFECTIOUS WASTE PERMIT r �_� a 4- <br /> 4. IDENTIFICATION M m d L 4 .- <br /> ___ A, Name (4" Height) <br /> (1" Width) / d <br /> B. ID Number(4" Height) 3 S C� "7 <br /> (1" Width) _t_ / � L -T <br /> C. Lettering both sides k m A) <br /> 5. CLEANING <br /> 6. MAINTENANCE <br /> 7. TAIL GATE SEAL �` C ( cO /L1s02oSa1 <br /> 8. CARRY TUBES <br /> 9. RIDE_ STEPS S / C� /� 41 <br /> 10. BROOM/SHOVEL S' ;�-,r uoy►. rx d-t,C <br /> 11. ROLL OFF COVERS <br /> 12. LEAKAGE OR SPILLAGE ` — <br /> CONTAINERS Ca c1 � j Lei _c, 12—e�L,31- IBJ 44 <br /> 13. IDENTIFICATION over 1 yd.3 `� <br /> _ A. Name t v L s Q v. �f L S 12 2 ex cs <br /> B. Telephone Number K- ,s �' C Z <br /> 14. CLEANING <br /> IL-2� C s ti'u2.of •n � � �_ <br /> 15. MAINTENANCE to <br /> 16. INSECTS <br /> YARD <br /> _ 17. SANITATION <br /> 18. PARKING <br /> 19, WASH DOWN FACILITIES <br /> _ 20. HAZARDOUS WASTE STORAGE <br /> TIME/METHOD <br /> SANITARIAN IVED B <br /> EH 08 01 <br />