Laserfiche WebLink
�>�rh SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> W. 304 East Weber Avenue, 3`4 Floor, Stockton, CA 95202-2708 <br /> i. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure - peration <br /> S O Package Sewage PlaA NAME OF FACILITY INSPECTION DATE <br /> Grease Trap --,/9- <br /> 2. t PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked j <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> S.Odor <br /> 6.Vectors <br /> 7. Soil Erosion <br /> 8.Blower Aerator <br /> 9.Skimmers Clarification < <br /> 10.Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14,Excess Sludge <br /> 15.Sludge Bed � <br /> 16.Weeds <br /> 17.Distribution Box �• <br /> 18. Water Level Pits <br /> 19. Sounding Tube <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanit Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof Q r � <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. _ <br /> 10.Additional Area Inside Hand Washing ` <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/YardseD <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: U <br /> Name(3"),Address(3"),Capacity 3" <br /> Registration Number 6" <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 /> Purnp Hose Adequate PROGRAM ELEMENT' PROGRAM RECORD: <br /> Cleaning Hose Adequate ; G� <br /> 7.Racks-Metal <br /> 8.Yard Sanitation: RECEIVED BY: DATE: <br /> y <br /> Sanitaqi <br /> R.E.H.S DATE: <br /> Adequate / <br /> 8Hn 42-02-006 <br /> 311 WOOS <br />