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4 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 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: H6 <br /> -NA <br /> , ,(/.I/,-I- INSPECTION DATE: 12-12 <br /> PREMISE ADDRESS: 1 61b yQ ( 6 �`/lSl/�{`.eI A/1 0 .Y a I , ITY: ZIP CODE: C, <br /> 1 U Y�1 (Ilr� v U ��C�1C1'l di'�G� <br /> OWNER/OPERATOR: ` Gc Iv mo, 1^`i 1 Ik w \ TELEPHONE: Ll 25 _ L-I <br /> PROGRAMELEMENT:f� V PPROGRAMREECORD:pp D5-;w7o6 INSPECTIONTYPE: REINSPECTBY: UJ <br /> V RV # Code Pumper TrucksNards <br /> Section The items below present health code violations and must be corrected: <br /> 1 SSC 9-174058; VALID PERMIT/REGISTRATION � HA M M {(�L `R6 M L <br /> vi q Q- 2 <br /> 2SJC9-1110.8; MONTHLY PUMPING REPORTS Liu <br /> HSC 117435 n I , e <br /> p <br /> RJ-Qr <br /> IDENTIFICATION OF VEHICLES: - <br /> U auA- <br /> 3 <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY e S 11a <br /> b)6 INCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES + U m Ir fin,} Ye <br /> d)VALVE LOCATION <br /> 5 HSC 117420 PUMP: st <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC 117420 HOSES: C 0 a/ <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. I 1E �, i <br /> K-AT61 -W4 <br /> 7 HSC 117420; METAL RACKS (jC,�Jr 1 <br /> SJLDR(9)(D) <br /> 8 <br /> HSC 117420 YARD: C van <br /> SJLDR(3) SANITARY AND ADEQUATE. J <br /> CHEMICAL TOILETS 15 ' Y <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) ^, �__/. <br /> 2 OWDS 11.10 STORAGE SITE S S' Ckf,,t. CQ-L Vt <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION oo- � ,A'v 1� J Tmc K� <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE l/ll�l <br /> 7 OWDS 11.2 VECTOR PROOF Q <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SQ.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3INCHES <br /> RECEIVED BY: TITLE: DATE: <br /> RENS: / PHONE:/�)K . �/ DATE: <br /> V=Violation;RV`i/Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />