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�9LIRI SAN JOAQUIN COUNTY0. <br /> t; f� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d 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 0=2EiLn <br /> S 0 Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1.krease Trap / B✓PlAd-3/-61/., <br /> 2.LI PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked Z8,s? // - .:o' <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6,Vectors <br /> 7. Soil Erosion - <br /> 8.Slower Aerator <br /> 9. Skimmers Clarification 5P/1!i`f GS sCP 'D�7/ilk ' <br /> 10.Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14.Excess Sludge <br /> 15.Sludge Beds <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube <br /> 20. Intermittent Dosing <br /> 21.Hazard Unsanitary Condition r <br /> i' <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident < 60 Z;;, <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 ,�15 /70»lk <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urioal 10 sq.ft. ' <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washm / l <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3. Lettering: T <br /> Name(.3".),Address(3"),Capacity 3") T <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 /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal <br /> ECEIVED BY: <br /> 8.Yard Sanitation: ! v <br /> Sanitary <br /> R.E.H.S. DATE: `D s <br /> Adequate lr <br /> EHD 42-02-006 P `-,Y , 263�Z, !e,33 2- <br />