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SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> 304 EAST WEBER AVENUE, STOCKTON 95201 STocKTaN 468-3420 <br /> LIQUID WASTE INSPECTION FORM <br /> COMPUTER NO <br /> PERMIT NO. <br /> DBA inspection Dale <br /> STR OPER STR OPER <br /> PACKAGE SEWAGE CHEMICAL TOILETS (CONT.) Premise Address <br /> TRE TMENT PLANT Recheck Dale <br /> — _ 6 DOORS SELF <br />` ✓1 GREASE TRAP CLOSE/LOCKING <br /> k 2 LIFT PUMP — 7 VECTOR PROOF THE ITEMS BELOW REPRESENT HEALTH CODE VIOLATIONS AND MUST BE ORRECTED: <br /> 3 FENCE LOCKED — — 8 SURFACES <br /> 4 CROSS SMOOTH/EASILY <br /> CONNECT- CLEAN <br />' jf� 5 ODOR --- — 9 FLOOR . <br /> '— W/URINAL � � - <br /> Pr ' 6 VECTOP6 10 SQ FT L.[�ly5 `;'S �n� <br /> 7 SOIL EROSION — WO/URINAL <br /> I B so FT <br /> GLOWER, <br /> AERATOR — 10 ADDIT. AREA <br /> — <br /> olc� INSIDE <br /> — _ 9 SKIMMERS- HANDWASH. <br /> uf� CLARIFICATION <br /> 11 LETTERING <br /> W AERATION- HEIGHT 3" <br /> COLOR PUMPER TRUCKSIYARDS <br /> 11 SLUDGE RETURN _ 1 VALID PERMIT! <br /> —G F�_12 EFFLUENT REGISTRATION <br /> I CLARITY _ 2 PUMPING <br /> j ck�3 POLISH PONDS RECORDS <br /> — 14 EXCESS SLUDGE _ 3 LETTERING <br /> r — — <br /> 15 SLUDGE BED — NAME(3") <br /> _ 16 WEEDS ADDRESS (3"1 <br /> CAPACITY(3"1 r <br /> —t <br /> —,-'1'7 DISTRIBUTION REGISTRATION v <br /> BOX NUMBER W1 <br /> 18 WATER LEVEL- 4 TRUCK TANK <br /> PITS <br /> _ 19 SOUNDING TU CE — METAL <br /> CONSTRUCTION <br /> 20INTERMT. — — LEAK PROOF <br /> DOSING VALVES <br /> 21 HA711RD- — — MANUAL <br /> -UNSAN.COND. VALVES <br /> '_k22 YARD/EQUIP, — — VALVE <br /> I MAINT, LOCATION <br /> 23 FAILURE — — 5 PUMPS <br /> EVIDENT SEALED <br /> 24 MONIT, REPORT 6 HOSES <br /> 25 MONIT.WELLS — W PUMP HOSE <br /> CHEMICAL TOILETS ADEQUATE <br /> 1 TANK CAPACITY — — CLEANING HOSE <br /> ADEQUATE <br /> 2 STORAGE SITE _ _ 7 RACKS-METAL <br /> _ — 3 DISPOSAL SITE 8 YARD <br /> 4 TYPE OF SANITATION <br /> CHEMICALS — — SANITARY <br /> 5 UNSANITARY ADEQUATE <br /> CONDITION — <br /> Public Health 176(4186) <br /> ANITARIAN R CEIVED B <br />