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SAM JOAQUIN LOCAL HEALT` ISTRICT <br /> 1601 E. HAZELTON AVENUE, P O. 8 009 <br /> STOCKTON, CA 95201 -�— PHONE: (2 ) 468.3420 <br /> BASTE MANAGEMENT/SOLIWASTE INSPECTION <br /> SOLID WASTE Q INFECTIOUS WASTE <br /> COMPUTER NO. <br /> tE 9® <br /> PERMIT NO. <br /> Inspection Date <br /> VEHICLES/EQUIPMENT <br /> ETR. OPER. Recheck Date <br /> Premise Address <br /> 1. REGISTRATION (DMV) <br /> 2. SOLID WASTE PERMIT THE ITEMS"BELOW R PRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT <br /> 4. IDENTIFICATION OK <br /> A. Name(4" Height) <br /> (1" Width) <br /> B. ID Number(4" Height) a <br /> Ilk— <br /> (1" Width) <br /> C. Lettering both Sides z t <br /> ® ` <br /> Y S. CLEANING O <br /> k <br /> 6. MAINTENANCE 0 <br /> 7. TAIL GATE SEAL C?K <br /> 8. CARRY TUB c' <br /> 9. RIDE STEPS <br /> 10. BROOM/SHOVEL r `` <br /> 11. ROLL OFF COVERS ID an � J <br /> �® 12. LEAKAGE OR SPILLAGE O <br /> CONTAINERS 1 <br /> 13. IDENTIFICATION over 1 yd,3vK <br /> A. Name V <br /> ----- t at ac <br /> 9 <br /> B. Telephone Number oK <br /> 14. CLEANING <br /> _ 15, MAINTENANCE <br /> 16. INSECTS <br /> YARD (g, <br /> 17. SANITATION <br /> 18. PARKING O <br /> 19. WASH DOWN FACILITIES Vel IB <br /> 20, HAZARDOUS WASTE4.RAGE <br /> TIME/METHOD <br /> 4SNRK11,N _ E -INFO BY <br /> EH 08 01 <br />