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°Ary' SAN JOAQUIN COUNTY <br /> '{ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . �P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 5 <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: INSPECTION DATE; <br /> //-/G <br /> PREMISE ADDRESS: CITY: ZIP CODE: <br /> OWNER/OPERATOR: TELEPHONE: <br /> PROGRAM ELEMENT: PROGRAM RECORD: ��� 3� INSPECTION TYPE: �� REINSPECT BY: <br /> g�W <br /> FI2 <br /> Code Pum er TrucksfYards <br /> 7mustbeected: <br /> Section The items below resent health code violations and <br /> SJC 9.1110.8; VALID PERMITIREGISTRATIONHSC 117405 <br /> SJC117435 1 435 <br /> HSC 1MONTHLY PUMPING REPORTS r <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)3INCH:NAME,ADDRESS AND CAPACITY <br /> b)6INCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION Dr <br /> 4 b)LEAK PROOF VALVES <br /> SJLDR(9)(A) C)MANUAL VALVES C�/L <br /> d)VALVE LOCATION <br /> 2! d <br /> 5 HSC 117420 PUMP: I <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> f , <br /> HSC 117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE ANDADEQUATE. - <br /> b)CLEAN AND WATERTIGHT. <br /> iv <br /> HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS <br /> HSC 117420 YARD: <br /> 8 <br /> I, SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICALTOILETS <br /> 1 OWDS 11,5 TANK CAPACITY(40 GALLON MIN.) /� / Y �L y• s f <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.5 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <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 W/URINAL(10 SO.F7.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(B So.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> I LI 11 O 11.9 LETTERING HEIGHT 3INCHES <br /> RECEIVED BY: ,1 TITLE' !.}ATE' <br /> REN / r PHONE! DATE: <br /> V=Viola n; RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 10/16/07 <br />