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° SAN JOAQUIN COUNTY <br /> QI 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: INSPECTION DATE: <br /> J— <br /> PREMISE ADDRESS: CITY: ZIP CODE: <br /> OWNER/ ERAT R: S TELEPHONE: I �� <br /> PROGRAM ELEMENT: PROGRAM RECORD: INSPECTION TYPE: REINSPECT BY: <br /> V RV # Code Pumper TrucksNards <br /> Section The items below present health code violations and must be corrected: <br /> SJC <br /> 1 HSC9-1110 17405- VALID PERMIT/REGISTRATION <br /> 2 SJC 9-1110.8; <br /> HSC 117435 MONTHLY PUMPING REPORTS r <br /> IDENTIFICATION OF VEHICLES: �.�j�1 .r-� <br /> 3 SJLDR(5) a)3INCH:NAME,ADDRESS AND CAPACITY '1-4 / <br /> b)6INCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION _ <br /> 4 SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 PUMP: �� <br /> 5 SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS <br /> 6 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS CN <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) S <br /> 2 OWDS 11.10 STORAGE SITE 3 -0–/ <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS v v <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 CLiAN <br /> )s <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FT.) (� <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SO.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3INCHES <br /> RECEIVED BY: ITJe e DATE:�� r <br /> REHS: " PHONE: DATE: L <br /> V=Violation RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42- 20 PUMPER TRUCK OIR <br /> 4/24/12 <br />