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SAN JOAQUIN. PUBLIC HEALTk,ARVICES <br /> 304 EAST WEBER AVENUE, STOCKTON 95201 STOCKTON 468-34N <br /> i <br /> LIQUID WASTE INSPECTION FORM <br /> COMPUTER N014POb 9�' <br /> PERMIT ARy2 <br /> E MiT NO. 00402 <br /> DBA � Inspection Dale <br /> STA OPER STA OPER { V1444 4PP7 /z. <br /> PACKAGE SEWAGE CHEMICAL TOILETS(CONT.I Premise Address Recheck Date <br /> TREATMENT PLANT — � 6 DOORS SELF <br /> OK 1 GREASE TRAP CLOSE/LOCKING EL <br /> aX 2 LIFT PUMP — 7VECTOR PROOF THE ITEMS BELOW REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED: <br /> Or 3 FENCE LOCKED � — 8 SURFACES <br /> 4 CRASS SMOOTH/EASILY --- - -_ <br /> CONNECT. CLEAN D <br /> Q� — w 9 FLOOR <br /> — 5ODOR WIURINAL A ,� I�� <br /> �S 6 VECTOPS 10 SO FT /V l �3>)`1e 11 A 6 <br /> �`,Wy7 SOIL EROSION — WO/URINAL <br /> C a SO FT <br /> 8 BLOWER, <br /> r AERATOR — 10 NSIDE AREA R),4NT <br /> o�9 SKIMMERS- HANDWASH. — <br /> XCLARIFICATION _ 11 LETTERING <br /> 0 AERATION- HEIGHT 3" <br />+ COLOR PUMPER TRUCKS/YARDS <br /> — — 11 SLUDGE RETURN <br /> 1 VALID PERMIT/ <br /> DK 12 EFFLUENT REGISTRATION - <br /> CLARITY — 2 PUMPING <br /> I — — 13 POLISH PONDS RECORDS <br /> _ — 14 EXCESS SLUDGE 3 LETTERING <br /> ,]5 SLUDGE BED — NAME 13") <br /> ADDRESS 13") <br /> _�y((16 WEEDS CAPACITY(3"1 <br /> 17 DISTRIBUTION REGISTRATION <br /> BOX NUMBER 16") <br /> — 18 WATER LEVEL- 4 TRUCK TANK <br /> f PITS <br /> _ _ METAL <br /> — — 19 SOUNDING TUCE CONSTRUCTION <br /> — 20 INTERMT. _ _ LEAK PROOF <br /> DOSING VALVES <br /> A- 1 HAZARD _ MANUAL <br /> (p UNSAN.COND. �' VALVES <br /> YAPO/EQUIP. — — VALVE <br /> MAINT. LOCATION <br /> — 23 FAILURE — — 5 PUMPS <br /> EVIDENT SEALED <br /> — 24 MONIT. REPORT 6 HOSES <br /> 25 MONIT.WELLS — PUMP HOSE <br /> CHEMICAL TOILETS ADEQUATE <br /> I TANK CAPACITY — — CLEANING HOSE <br /> ADEQUATE <br /> — 2 STORAGE SITE — — 7 RACKS-METAL <br /> f — 3 DISPOSAL SITE 8 YARD <br /> — — 4 TYPE OF SANITATION <br /> CHEMICALS SANITARY <br /> 5 UNSANITARY ADEQUATE <br /> CONDITION — — <br /> PubHo Health 176(4196) <br /> NIT I N RECEIVED 13Y T <br />