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t <br /> SAN JOAQUIN. PUBLIC HEALTh SERVICES <br /> 304 EAST WEBER AVENUE, STOCKTON 95201 STOCKTON 468-3420 <br /> LIQUID WASTE INSPECTION FORM <br /> COMPUTER NO. <br />" PERMIT NO. <br /> D' <br /> - _f� � In ection Dale <br /> STA OPfR STR OPER V IJ1-C �pP7"S �-C� <br /> PACKAGE SEWAGE CHEMICAL TOILETS ICONT.I Premise Address ` J Recheck Dale <br /> TREATMENT PLANT <br /> er — — 6 L700R5 SELF 5 j ST ��I71� <br /> — 0'11 GREASE TRAP CLOSE/LOCKING <br /> 2 LIFT PUMP — — 7 VECTOR PROOF THE ITEMS BELOW REPRESENT HEALTH CODE VIOLATIONS AND MUST HE CORRECTED: <br /> 3 FENCE LOCKED — 8 SURFACES <br /> 1 — SMOOTH/EASILY <br /> 4 CROSS CLEAN <br /> CONNECT. <br /> 5 — — 9 FLOOR <br /> ODOR _.,. _,- <br /> W/URINAL <br /> — Q�s VECTORS 10 sn FT <br /> Q 7 SOIL EROSION — WO/URINAL <br /> 8 BLOWER, 8 SO FT <br /> — 10 ADDIT. AREA <br /> f� AERATOR INSIDE <br /> SKIMMERS- HANDWASH. �J P /}�}-}� <br /> CLARIFICATION _ — 11 LETTERING �1AZVT 5) /E1C�T f�� RX,�:,� <br /> CA10 AERATION- HEIGHT 3" <br /> COLOR <br /> PUMPER TRUCKS/YARDS <br /> — 11 SLUDGE RETURN _ 1 VALID PERMIT/ <br /> dk 12 EFFLUENT REGISTRATION <br /> �,}} CLARITY 2 PUMPING <br /> 13 POLISH PONDS RECORDS <br /> 14 EXCESS SLUDGE — 3 LETTERING <br /> 15 SLUDGE BED — NAME Ml <br /> ADDRESS 13•'I <br /> 16 WEEDS CAPACITY 13") <br /> — (17 DISTRIBUTION — REGISTRATION <br /> �y BOX NUMBER 16-'1 <br /> — 18 WATER LEVEL- 4 TRUCK TANK <br /> PITS <br /> METAL <br /> 19 SOUNDING TUCE — CONSTRUCTION <br /> t <br /> — — 201NTERMT. — — LEAK PROOF <br /> DOSING VALVES <br /> 21 HA7ARD- _ _ MANUAL <br /> UNSAN. COND. VALVES <br /> Lfy�122 YAR DIEOUIP. _ VALVE <br /> G MAINT, LOCATION <br /> 23 FAILURE — — 5 PUMPS <br /> EVIDENT SEALED <br /> — 24 MONIT. REPORT 6 HOSES <br /> 25 MONIT.WELLS — — PUMP HOSE <br /> I CHEMICAL TOILETS ADFOUATE <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 /> i <br /> PuhII0 Healftr 176(4196) <br /> ITARIAN RECEIVE 48 <br />