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SAN .10AQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />SOLID WASTE OFFICIAL INSPECTION REPORT <br />Page � of,� <br />SOLID WASTE <br />❑INFECTIOUS WASTE <br />DBA <br />S <br />• <br />�? <br />INSPECTI DATE <br />/ � <br />structure <br />operation <br />VEHICLES/EQUIPMENT <br />FACILITY ADDRESS <br />.��� <br />� e <br />�e� d � <br />� �� e�►�.��o <br />REINSPECTION DATE <br />❑ <br />❑ <br />1. <br />Registration (DMV) <br />OWNER/OPERATOR <br />s f� <br />I <br />Sic 1 <br />r 1� j <br />I {�(,I,J�I'���5 �4. <br />PHONE r� <br />T g����d� <br />❑ <br />❑ <br />2. <br />Solid Waste Permit <br />I S ECTION TYPE <br />D�' � �' <br />PROGRAM <br />ELEMENT <br />TOTAL # OF VEHICLES <br />� <br />ECORD ID <br />�� <br />❑ <br />❑ <br />3. <br />Infectious Waste Permit <br />The items below represent <br />� If , � <br />it <br />� <br />code violations <br />`,� �r C <br />u, J I. <br />and must be corrected: <br />� j���N <br />❑ <br />❑ <br />4. Identification: <br />❑ <br />❑ <br />A. Name: <br />4" Height x 1"Width <br />� <br />� � <br />► lu �-� � � f <br />❑ <br />❑ <br />B. ID Number: <br />4" Height x 1"Width <br />, <br />� Cie <br />❑ <br />❑ <br />C. Lettering both sides <br />p� <br />C7 <br />�© <br />��� I ` � � e ��` <br />T <br />❑ <br />❑ <br />5. <br />Cleaning <br />��► CoVcf <br />❑ <br />❑ <br />6. <br />Maintenance <br />❑ <br />❑ <br />7. <br />Tail Gate Seal <br />❑ <br />❑ <br />8. <br />Carry Tubes <br />❑ <br />❑ <br />9. <br />Ride Steps <br />❑ <br />❑ <br />10. <br />Broom/Shovel <br />j ~ <br />'T <br />� <br />ect !v <br />•� , 1n <br />• <br />� 1���� <br />❑ <br />11. <br />Roll Off Covers <br />�1 <br />' <br />E'O�� <br />1�"rrl �� <br />� <br />OO Y�'l <br />❑ <br />❑ <br />12. <br />Leakage or Spillage <br />,T/� <br />� Y 1, � .; � <br />n Gn <br />�� <br />` n <br />1 <br />r� h� Q � <br />.7 /''L U' <br />t <br />I _i , <br />kVlw "T � �' <br />structure <br />operation <br />CONTAINERS <br />�^ <br />l.k: L'C <br />a <br />❑ <br />❑ <br />13. <br />Identification over 1 yd <br />❑ <br />❑ <br />A. Name <br />❑ <br />❑ <br />B. Telephone Number <br />❑ <br />❑ <br />14. <br />Cleaning <br />f � A'1� . <br />❑ <br />❑ <br />15. <br />Maintenance <br />�i►c�� <br />1n <br />td e <br />❑ <br />❑ <br />16. <br />Insects <br />Structure <br />operation <br />YARDS <br />�v y I �•Q � <br />l e� <br />L G�,eC,p SLI <br />rT <br />�' �,�P�rten5 <br />,�-� ,� � e <br />❑ <br />❑ <br />17. <br />Sanitation <br />^T��A (�_ <br />G�.,r l.� C.e <br />. <br />� ��V <br />❑ <br />❑ <br />18. <br />Parking <br />❑ <br />❑ <br />19. <br />Wash Down Facilities _ <br />❑ <br />❑ <br />20. <br />Hazardous Waste Storage <br />TimelMethod <br />RECEIVE B <br />INSPECTOR <br />tY1U 44-U1 4/1 L/11 (N� // �/ V �-'�� <br />SOLID WA3T,FJOIR <br />