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. q f <br /> SAN JOAQUIN. PUBLIC HEaLTH*-�6eERVICES 1 <br /> 304 EAST WEBER AVENUE, STOCKTON 95201 STOCKTON 468-342C <br /> LIQUID WASTE INSPECTION FORM <br /> COMPUTER NO. <br /> PERMIT NO. <br /> Inspedon bate <br /> STIR OPER STR OPER <br /> i <br /> PACKAGE SEWAGE CHEMICAL TOILETS fCONT.I Premise Address Recheck pat <br /> TREATMENT PLANT e <br /> _ 6 ODORS SELF -71 <br /> 1 GREASE TRAP CLOSE/LOCKING <br /> JLIFT PUMP � � 7 VECTOR PROOF THE ITEMS BELOW REPRESENT HE=ALTH CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3 FENcr LOC.!CED - 8 SURFACES <br /> .ti 4 C:?[)SS SMOOTH/FAASILY <br /> C0P1'JECT. CLEAN <br /> _ 9 FLOOR <br /> W/URINAL <br /> 10 SO FT 11fL'v��i <br /> _.6('! l Q cam ct�/ter` <br /> i SOIL EFOSIT - WO/URINAL <br /> Ed <br /> 8 SQ FT <br /> 8 LO'�1'EF, 10 AODIT.AREA <br /> AFITATOfi - INDITE <br /> J SKIMMERS- HANDWASH. <br /> CLARIFICATION _ 11 LETTERING <br /> 10 AFRATION- HEIGHT 3"' <br /> CO!:IR r / <br /> PE1!61rER TRUCKS/YARDS <br /> 1' SLUS>GE RETURN _ 1 VALID PERMIT/ <br /> IP cF--L.1fENT REGISTRATION / n� �� <br /> 2 PUMPING / <br /> "CIUS11,PONDS RECORDS <br /> - E EXCESS SLUDGE 3 LETTERING <br /> 1 SLii!7(iE 8ED - NAME 13") <br /> ADDRESS 13") <br /> CAPACITY(3") <br /> D1STFITOUTION <br /> Ni1MRER E6") <br /> REGISTRATION <br /> ATER LEVEL- 4 TRUCK TANK / <br /> PITS <br /> METAL <br /> - 19 SOUNDING TUCE CONSTRUCTION <br /> - INTERMT. LEAK PROOF <br /> DOSING VALVES f <br /> 21 IiAZARD- MANUAL f < <br /> UNSAN. COND. VALVES <br /> - 22 YAROIEQIJIP. _ _ VALVE <br /> MP-INT, LOCATION <br /> 23 FAILURE 5PUMPS 1� <br /> EVIDENT SCALED <br /> - 24 MOMT, REPORT 6 HOSES1�-- <br /> - 25 MONIT. WELLS PUMP HOSE C[i <br /> CHEMICAL TOILETS ADEQUATE <br /> I TANK CAPACITY - - CLEANING HOSE <br /> ADEQUATE <br /> 2 STORAGE SITE 7 RACKS-METAL / <br /> .� .� 3 DISPOSAL SITE � 8 YARD <br /> _ 4 TYPE OF SANITATION l <br /> CHEMICALS <br /> SANITARY <br /> 5 UNSANITARY ADEQUATE <br /> CONDITION - <br /> . ons i <br /> 1 <br /> Public Health 176(4196) <br /> DSANI RIAN RE D <br /> � <br />