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SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> 304 EAST WEBER AVENUE, STOCKTON 95201 STOCKTON 468-3420 <br /> LIQUID WASTE INSPECTION FORM <br />{ <br /> COMPUTER NO. <br /> PERMIT NO. <br /> beA <br /> Inspection Date <br /> STA OPER STR OPER /. "7�� <br /> PACKAGE SEWAGE CHEMICAL TOILETS(CONT.I PfCMISe Address Recheck Dafe <br /> TREATMENT PLANT — — ' <br /> 6 DOORS SELF <br /> 1 GES=F+SE TRAP CLOSE/LACKING <br /> 2 LFFi'PIIMP — 7 VECTOR PROOF THE ITEMS BELOW HEPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED- <br /> 3 FENCE LOCKED ._ 8 SURFACES <br /> 4 fF"7a> SMOOTH/FASILY <br /> - C:i,.-. - - CLEAN <br /> 9 FLOOR <br /> W/URINAL <br /> 16 SO FT /%�r�,!` T7 -'�- l�r✓//- -%Y t� �� <br /> — — 7 SOP-ESOS{ON — — WO/URINAL <br /> 8 50 FT <br /> AERATOR 10 ADDIT.AREA <br /> —H INSIDE <br /> c C r� <br /> HANDWASH. , <br /> CLARIFICATION <br /> !1 LETTERING <br /> HEIGHT 3" .lC- _ __L <br /> IC,IEfii�+TlC;iy- � � - ``7` <br /> COLrn PUMPER TRIICKS/YARDS <br /> — ti SLUDGE RETURN I VALID PERMIT/ f <br /> 12.EFI=EA)ENT — REGISTRATION <br /> CLARITY 2 PUMPING <br /> 13 POl(SH PONOS RECORDS <br /> 14 EXCESS SLUDGE 3 LETTERING <br /> 15 SLUDGE BED — NAME 43") <br /> ADDRESS (3"1 <br /> 16 WEEDS CAPACITY(3"Ii�� 7ijyy„�. Cy` /�'✓,r - r��-�jry� (rte/�� j <br /> T 17 DISTRIBUTION — REGISTRATION <br /> BOX NUMBER (6"I �_ r <br /> 19 WATER LEVEL- 4 TRUCK TANK <br /> PITS <br /> METAL <br />- — — 14 SOUNDING TUGS _ CONSTRUCTION <br /> 2.0 INTERMT. LEAK PROOF <br /> DOSING - — VAi.VES <br /> I — — 21 HAZARD- MANUAL <br /> VA(.VES <br /> 22 YARD/EQUIP. _ _ VALVE - - <br /> MAINT. LOCATION <br /> 23 FAILURE <br /> I EVIDENT — — 5 PUMPS - <br /> SEALED / <br /> — — 24 MONIT. REPORT 6 HOSES <br /> — 25 MONIT.WELLSPUMP HOSE <br /> J <br /> CHEMICAL TOILETS ADEQUATE <br /> 1 TANK CAPACITY — — CLEANING HOSE <br /> ADEQUATE <br /> r I STORAGE SITE — — 7 RACKS-METAL <br /> f _ — 3 DISPOSAL SITE 8 YARD <br /> f — — 4 TYPE OF SANITATION <br /> CHEMICALS SANITARY <br /> 5 UNSANITARY ADEQUATE <br /> CONDITION — <br /> h <br /> 4 <br /> Public Health 176(41961 y /� <br /> SANITARI RECE <br />