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SAN JOAQUIN, PUBLIC HEALTH-oERVICES <br /> 304 EAST WEBER AVENUE, STOCKTON 95201 STOCKTON 469-3420 <br /> LIQUID WASTE INSPECTION FORM <br /> COMPUTER NO. <br /> PERMIT NO, 0 2 a 6 <br /> 1 � <br /> DBA -spec ion at <br /> STA OPER STA OPER 1�� /2 L?—11:7> <br /> PACKAGE SEWAGE CHEMICAL TOILETS ICONT.I r=emise Address I lReche Date <br /> TREATMENT PLANT _ _ 6 DOORS SELF 1- <br /> 1 GREASE TRAP CLOSE/LOCKING <br /> 2 LIFT PUMP / — 7 VECTOR PROOF THE ITEMS BELOW REPRESENT HEALTH CODE VIO ATIONS AND MUS BE CORRECTED: <br /> — 3 FENCE LOCKED — — 8 SURFACES �L �_ � ,y�� <br /> 4 CROSS SMOOTH/EASILY -- "'1 <br /> CONNECT/ FLOOREAN �GD oo Z3 7�0 <br /> 5 ODOR ✓ — — 9 FLOOR -- <br /> / WIURINAL - {} <br /> 6 VECTOPS- 10 SO FT <br /> — 7 SOIL EROSION — — WOIURINAL <br /> 6SOFT <br /> 8SLOWER, <br /> AERATOR — 10 INSIDEE AREA <br /> AERATOR — <br /> 9 SKIMMERS- HANDWASH. \- <br /> CLARIFICATION — — 11 LETTERING <br /> 10 AERATION- HEIGHT 3" <br /> COLOR PUMPER TRUCKSIYARDS <br /> 11 SLUDGE RETURN _ 1 VALID PERMIT/ ` <br /> 12 EFFLUENT REGISTRATION \-1 J!t <br /> CLARITY — 2 PUMPING \ [ <br /> 13 POLISH PONDS RECORDS <br /> — 14 EXCESS SLUDGE/ — 3 LETTERING <br /> 15 SLUDGE BED — NAME(31 <br /> ADDRESS (31 <br /> 16 WEEDS <br /> CAPACITY(33") 'V � <br /> 17 DISTRIBUTION REGISTRATION <br /> BOX NUMBER 16"F <br /> — 18 WATER LEVEL- 4 TRUCK TANK <br /> J1 <br /> PITS `T <br /> METAL <br /> 19 SOUNDING TUCE CONSTRUCTION <br /> 201NTERMT. — — LEAK PROOF <br /> DOSING VALVES \ — ' r� Gl�`O 1 <br /> 21 HAZARD- MANUAL Y� <br /> UNSAW COND. VALVES p 6p X �� <br /> 22 YARD/EOUIPe _ _ VALVE Cly <br /> MAINT. LOCATION <br /> 23 FAILURE _ S PUMPS L•p✓�� <br /> EVIDENT SEALED <br /> — — 24 MONIT. REPORT 6 HOSES <br /> 25 MONIT,WELLS — PUMP HOSE <br /> CHEMICAL TOILETS ADEQUATE 111 <br /> 1 TANK CAPACITY — — CLEANING HOSE <br /> ADEQUATE -— - <br /> - 2 STORAGE SITE — — 7 RACKS-METAL <br /> — 3 DISPOSAL SITE B YARD <br /> 4 TYPE OF SANITATION <br /> CHEMICALS — — SANITARY <br /> 5UNSANITARY ADEQUATE <br /> CONDITION — — <br /> Cin Cerf'►'L crr � •e, D�. _ <br /> J <br /> Public Health 176(4196) <br /> SA R r7 RECEIVED 6Y <br />