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EHD Program Facility Records by Street Name
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AVENUE 13
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28777
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4200 – Liquid Waste Program
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PR0536480
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COMPLIANCE INFO
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Entry Properties
Last modified
12/3/2020 4:31:24 PM
Creation date
8/5/2020 10:00:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536480
PE
4246
FACILITY_ID
FA0020673
FACILITY_NAME
KALIFORNIA GOLD AG SERVICES
STREET_NUMBER
28777
STREET_NAME
AVENUE 13
City
MADERA
Zip
93638
CURRENT_STATUS
02
SITE_LOCATION
28777 AVENUE 13
P_LOCATION
98
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\A\AVENUE 13\28777\PR0536480\INSPECT CORRESPOND.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> 16 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �r Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: INSPECTION DATE <br /> PREMISE ADDRESS: �' / <br /> CITY: COD / <br /> OWNER/OPERATOR: TELEPH N '- <br /> PROGRAM ELEMENT:r r FROG CORD' lNS ION TYP REINSPECT BY: <br /> V RV tt Code Pumper-TrucksNards <br /> Section - The items below present health code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMITIREGISTRAT0N <br /> HSC 117405 <br /> 2 SJC 9-11108' MONTHLY PUMPING REPORTS <br /> MSC 117435 <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY <br /> b)U INCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 b)LEAK PROOF VALVES �. <br /> SJLDR(9}(A} C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> 5 HSC 117420 PUMP: 4 <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> HOSES: <br /> HSC 117420 <br /> 6 SJLDR 7420 a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) / <br /> 8 HSC 117420 YARD: 1(6 <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.} <br /> 2 OWDS 11.10 .STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE ze <br /> - <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION T <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE / <br /> 7 OWDS 11.2 VECTOR PROOF - <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN / <br /> 9 OWDS 11.1 FLOOR AREA WIURINAL(10 50,FT) � d`� <br /> OWDS 11.1 FLOOR AREA WIOUT URINAL(8 SO.FT.) <br /> I 10 OWDS 11,1 SUFFICIENT SPACE. 6rP <br /> I 11 OWDS 11.9 LETTERING HEIGHT 3 INCHES <br /> Bye TITLE: DATE: <br /> REHS: HONE: J� DATE' /y i <br /> V=Violation; V=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE: 1 OF_ <br /> EHD 42-0 PUMPER TRUCK OIR <br /> 10/16/07 <br />
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