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1 <br /> ' rf <br /> SAN JOAQUIN. PUBLIC HEir,r H S`ERViCES 'r <br /> i <br /> 304 EAST WEBER AVENUE, STOCKTON 95201 STOCKTON 468-3420 <br /> LIQUID WASTE INSPECTION FORM <br />+ COMPUTER NO. <br /> PERMIT NO. �� <br /> D"A - - .� <br /> Inspection Da e <br /> STA OPER STR OPER _�, <br /> PACKAGE SEWAGE CHEMICAL TOILETS ICONT.1 Premise Address <br /> TREATMENT PLANT Recheck Date <br /> ` — — e DOORS SELF <br /> 1GREASE TRAP CLOSElLOCKfNG <br /> 1 2 LIFT PUMP — — 7 VECTOR PROOF THE ITEMS BELOW REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED: <br /> — 3 FENCE LOCKED — 8 SURFACES <br /> 4 CROSS SMOOTH/EAS$LY <br /> CONNECT. CLEAN <br /> — 9 FLOOR <br /> 5 ODOR <br /> WIURINAL <br /> VECTOPs 10 SO.FT <br /> ..�C}i�_.yam'✓'") <br /> — — 7 SOIL FROSION/7 WO/URINAL <br /> J�C 8 SQ FT <br /> B BLOWER, '� <br /> AERATOR — 10 ADDIT. AREA <br /> — <br /> INSIDE <br /> _ 9 SKIMMERS- HANDWASH. -- <br /> CLARIFICATION — — 11 LETTERING <br /> 10 AERATION- HEIGHT 3" <br /> COLOR PUMPER TRUCKS/YARDS <br /> — — 11 SLUDGE RETURN — 1 VALID PERMIT! <br /> — — 12 EFFLUENT REGISTRATION <br /> CLARITY — 2 PUMPING <br /> — 13 POLISH PONDS RECORDS <br /> — 14 EXCESS SLUDGE — 3 LETTERING <br /> — 15 SLUDGE BED — NAME 13 1 <br /> ADDRESS 13") <br /> 16 WEEDS CAPACITY IT') <br /> 17 DISTRIBUTION REGISTRATION <br /> r <br />� BDX � NUMBER 18"I <br /> 18 WATER LEVEL- 4 TRUCK TANK <br /> PITS <br /> METAL <br /> 19 SOUNDING TUCE r <br /> CONSTRUCTION � <br /> 20 INTI RMT. — — LEAK PROOF f'I� •L a' ��' ! �' .-,_26 <br /> DOSING VALVES <br /> 21 HAZARD- MANUAL <br /> �f��S r � �C�7f177�i- Cr1/ ice /f <br /> UNSAN. COND. — VALVES <br /> 22 YARDlEOUIP. VALVE <br /> MAINT. LOCATION <br /> 23 PAIWRE — — 5 PUMPS �r�l <br /> EVIDENT SEALED <br /> _ — 24 MONIT. REPORT 8 HOSES - <br /> - — 25 MONIT.WELLS — — PUMP HOSE <br /> CHEMICAL TOILETS ADEQUATE <br /> C — 1 TANK CAPACITY -- CLEANING HOSE <br /> ADEQUATE <br /> 2 STORAGE SITE — T 7 RACKS-METAL <br /> — 3 DISPOSAL SITE 8 YARD <br /> 4 TYPE OF SANITATION <br /> CHEMICALS — — SANITARY <br /> 5 UNSANITARY ADEQUATE <br /> CONDITION — — <br /> I A — <br /> Public Health 176(4186) <br /> AN TARIAN R ED BY <br />