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UiN CO <br /> P SAN <br /> JOA Q UNTY <br /> s ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0I38 Web: www,sjgov,org/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S-Structure O=Operation <br /> S O Package Sewage Plant NAME OF FACILITY <br /> 1.Grease TrapINSPECTION DATE <br /> 2,Lift Pure PREMISE ADDRESS S 3 O <br /> 3.Fence Locked RE SPECTIo DATE <br /> 4.Cross Connection <br /> 3.Odor The items below present health code violations and must be corrected: <br /> 6. Vectors <br /> 7. Soil Erosion Qv<vYt <br /> 8,Blower Aerator <br /> 9. Skimmers Clarification <br /> 10.Aerator-Color <br /> 11.Slud ge Return <br /> 12,Et.uent Clarityc.� <br /> 13.Polish Ponds <br /> 14. Excess Sludge <br /> 15. Sludge Bed ` <br /> 16. Weeds <br /> IT Disiribution Box <br /> 18. Water Level Pits A <br /> 19. SoundingTubeketiC <br /> 20, Intermittent DosinoyCcs <br /> 21. Hazard Unsanitary Condition C <br /> 22. Yard/Equipment Maintenance o} <br /> 23.Failure Evident Pfb-v Cu- e"t CeAV-4AA r='A*-irmS +-o Cw+Af"r <br /> 24.Monitoring Report k <br /> 25. ManitorinR Well 4 3a Cry . <br /> S 10 Chemical Toilets d t l y . <br /> 1.Tank Ca aci _ 4dS o�nlcl c�i�{{�X Caf� „4 <br /> 2. Storage Site <br /> 3.Disposal Site <br /> 4. T e of Chemicals <br /> 5. Unsanitary Condition `r - <br /> 6. Doors Self Close/LockingrY <br /> 7. Vector Proof t i�l^- c(- <br /> 8.Surfaces Smooth/Easily Clean Z14 <br /> 9.Floor w/Urinal ]0 s . fl. �1UY c l �`cav ���. �Ga'-moo V-\ / <br /> Floor w/oUrinal 8 - <br /> t �� <br /> 10.Additional Area Inside Hand Washin <br /> 15 �ri"- <br /> 1 1.Lettering Hei ht 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Re istration n l4 C C <br /> 1 vw I- <br /> 2. ' p ; f ,rur�_z�L j he P rb a11`c fry C'A <br /> Pum in Records I <br /> 3. Letterin <br /> Name(3"),Address(3"'),Ca acit 3" '~ t C-VA c-N <br /> Re istration Number(6") <br /> 4. Truck Tank; a Ula ��cCo p <br /> Metal Construction <br /> Leak Proof Valves �n <br /> Manual'Valves <br /> Valve Location <br /> 5. Pumps Sealed f <br /> 6. Hoses: <br /> Pump Hose Adequate �(' <br /> CleaningHose Ade uate PROGRAM ELEMENT: ! Z�^ PROGRAM RECORD: <br /> 7. Racks-Metal <br /> 8. Yard Sanitation: RECEIVER BY: DATE: <br /> Sanitary <br /> Adequate R.E.H.S. DATE: <br /> �nonrros <br />