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SAN JOAQUIN LOCAL HEALT (STRICT <br /> 1601 E. HAZELTON AVENUE, P. 0. SW2009 41 <br /> STOCKTON, CA 95201 -- PHONE: (209) 468-3420 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> SOLID WASTE O INFECTIOUS WASTE <br /> COMPUTER NO. 0-e(tQ II <br /> PERMIT NO. " t O <br /> DSA Inspepion Date <br /> VEHICLES/EQUIPMENT sv� �' Z Z - Z O - <br /> STR. OPER. Premise Address Recheck Date <br /> 1. REGISTRATION (DMV) <br /> _ 2. SOLID WASTE PERMIT THE ITEMS BELO\N REPRESENT <br /> CODE VIOLATIONS AND MUST,4E CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT <br /> 4. IDENTIFICATION `/G <br /> A. Name(4" Height) <br /> (1" Width) e,��t Z <br /> B. ID Number(4" Height) -- �2.erya yl A.v0 <br /> (1" Width) — zi <br /> l <br /> C. Lettering both sides - <br /> 5. CLEANING ' <br /> _ 6. MAINTENANCE h ['c1� i/�sif[ L1 _� <br /> 7. TAIL GATE SEAL a' - e, ( 44 <br /> 8. CARRY TUBES <br /> 16". <br /> STEPS <br /> 10. BROOM/SHOVEL f <br /> 11. ROLL OFF COVERS <br /> le S7 S -� (�.. Vol, Z q <br /> 12. LE GE OR SPILLAGE 10 --- LZ' _ <br /> CONTAINERS y e <br /> ell z- 0.yam <br /> 13. IDENTIFICATION over 1 yd.3 <br /> _ A. Name <br /> T B. Telephone Number ✓I s���� "�` t �"r f' <br /> I V <br /> 14, CLEANING <br /> 15. MAINTENANCE <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 /> SANITA �R IVIED BY <br /> EH 08 01 <br />