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o?q`''"'•o SAN JOAQUIN COUNTY <br /> 4 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page of I <br /> ION[)ATE <br /> 777��SOLID WASTE ❑ 1:7 INFECTIOUS WASTE DBA CS _Y" I„? j'710-9 <br /> � FACILITY ADDRESS T REINSPECTION DATE <br /> Structure operation VEHICLES/EQUIPMENT I$ 9O I pi-ht ��✓e, f� ' <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR V �\ PHONE <br /> ❑ ❑ 2. Solid Waste Permit <br /> INSPECTIONTYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ E] 3. Infectious Waste Permit yy�3 <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: 4I J �QLLlL <br /> ❑ ❑ A 4' Height x 1"Width / 7 -7P,9 7 0 /�C-- d'�s�✓�-� <br /> ❑ ❑ B. ID Number: l <br /> 4"Height x 1"Width 7 6 96o 6 r Z— tea <br /> ❑ ❑ C. Lettering both sides Z/ 15--C If 13 r$ T—L 0 <br /> ❑ ❑ 5. Cleaning .2/ 3'il 7 7 D 3 3 1—D <br /> A 3 7,- 93 9 3 7 � rrd <br /> El El 6. Maintenance -! <br /> ❑ 7. Tail Gate Seala—ez V p 3 Y3 i Q. ` <br /> ❑ ❑ 8. Carry Tubes l <br /> ❑ ❑ 9. Ride Steps ✓. ,� C2�-t �l�t Oyt d-ee <br /> ❑ 10. Broom/Shovel <br /> ❑ ❑ 11. Roll Off Covers _ Ail, <br /> je A ite, <br /> ❑ ❑ 12. Leakage or Spillage <br /> structure operation C O N T A I N E R S � <br /> ❑ ❑ 13. Identification over 1 yd <br /> ❑ ❑ A. Name �p/G <br /> ❑ ❑ B. Telephone Number Fratt.-Itz, r, t <br /> ❑ ❑ 14. Cleaning <br /> p ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> Structure operation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RECEIVE INSPECTORr� <br /> ❑ <br /> ElTime/Method <br /> ,. <br /> SOLID WASTE OIR <br /> EHD 44-01 9/28/07 <br />