Laserfiche WebLink
C. -, <br /> SAN JOAQUIN COUNTY <br /> EI RONMENTAL HEALTH DEPARTMENT <br /> �� 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/chd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure O=Operation <br /> S 1 O Package Sewage Plant NAME OF FACILITY INSPECTI N DAT <br /> 1.Grease Trap ,-t.L 0A\A54r,� 7 <br /> 2.Lift Pump PREMISE ADDRESS REI PEC-n DATE <br /> 3.Fence Locked _ (� <br /> 4.Cross Connection 5.Odor The items below present health c de violations and must be corrected: <br /> 6.Vectors (� ` <br /> 7. Soil ErosionJkZ�,A`n+tie_ "\ lVh +Fa 5 SrCry�1 <br /> S.Blower rsClarification <br /> Aerator IL ` <br /> 9. Skimmers Clarification 1 't/�,Dt- <br /> 10. Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity - <br /> 13.Polish Ponds S +ti t VIISC <br /> 14.Excess Sludge <br /> 15.Sludge Bed a <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube /b <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident 5 f TT� <br /> 24.Monitoring Re rt 1 <br /> 25.Monitoring Well OATS /1 <br /> S O Chemical Toilets 1 <br /> 1.Tank Capacity /T ) li✓GYG� <br /> 2.Storage Site <br /> 3.Disposal Site r <br /> 4.Type of Chemicals V IV <br /> 5.Unsanitary Condition 4 <br /> 6.Doors Self Close/Lockin <br /> 7.Vector Proof e- of <br /> S.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 s .ft. <br /> Floor w/oUrinal 8 s .ft. <br /> 10.Additional Area Inside Hand Washing ✓j p ! r o r-e--L-S Np <br /> 11.Lettering Height 3" 1 <br /> S O Pumper TruckslYards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(3"),Address(3"),Capacity 3" <br /> Registration Number(6") Q <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pun m Hose Ade uate PROGRAM ELEMENT: PROGRAM RECORD: �I]f//1�� �Z <br /> Cleaning Hose Adequate (/ <br /> 7.Racks-Metal RECEIVED BY: DATE: <br /> 8.Yard Sanitation: <br /> Sanitary R.E.H. ATE: <br /> Adequate <br /> EHD 42-62-006 <br /> 311012005 <br />