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SAN JOAQUIN PUBLIC HEALTH SERVICES <br /> .304 EAST WEBER AVENUE, STOCKTON 95201srocKTON 468-3420 <br /> LIQUID WASTE INSPECTION FORM <br /> 1 <br /> 'PERMIT NO. PR L4Zco&,? <br /> DBA Inspedion date <br /> y STIR OPER STIR OPER <br /> PACKAGE SEWAGE CHEMICAL TOILETS ICONTA Premise Ad ress Recneck Dale <br /> TpEATMENT PLANT 6 DOORS SELF ryy`� <br /> - 1 GREASE TRAP CLOSEILOCKING C y i� <br /> - - 2 LIFT PUMP - 7 VECTOR PROOF THE ITEMS PELOW REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3 FENCE LOCKED - - 8 SURFACES <br /> 4 CROSS SMOOTHIEASILY <br /> CONNECT. CLEAN D�Q <br /> — 9 FLOOR <br /> 5 ODOR W/URINAL <br /> 6 VECTOPS 10 SO FT <br /> 7 SOIL EROSION — — WO/URINAL <br /> $50 FF N J <br /> — — 8 BLOWER, — 10 ADDIT.AREA <br /> AERATOR — INSIDE <br /> .— — 9RI - HANOWASH. <br /> CLARIFICATION CLARlFICAF1CATION fl LETTERING <br /> 10 AERATION- HEIGHT 3" <br /> COLOR PUMPER TRUCKS/YARDS <br /> — 11 SLUDGE RETURN _ 1 VALID PERMIT/ <br /> 12 EFFLUENTREGISTRATION <br /> CLARITY 2 PUMPING - - - <br /> 13 POLISH PONDS RECORDS <br /> 14 EXCESS SLUDGE — 3 LETTERING <br /> 15 SLUDGE RED NAME 13"1 <br /> ADDRESS 13"1 <br /> — 16 WEEDS CAPACITY f31 <br /> I — — 17 DISTRIBUTION REGISTRATION <br /> BOX NUMBER W 1 <br /> 18 WATER LEVEL- 4 TRUCK TANK <br /> PITS <br /> METAL <br /> 19 SOUNDING TUCE CONSTRUCTION <br /> 201NTERMT. — — LEAK PROOF <br /> DOSING VALVES <br /> w 21 HAZARD- — — MANUAL <br /> UNSAN.COND. VALVES <br /> 22 YARD/EQUIP. VALVE <br /> MAINT. — LOCATION <br /> 23 FAILURE — — 5 PUMPS <br /> EVIDENT SEALED <br /> 24 MONIT. REPORT 6 ROSES <br /> _ 25 MONIT.WELLS PUMP HOSE <br /> CHEMICAL TOILETS — T ADEOUATE <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 HBalth 176(4196) <br /> (A7T I RECEIVED B <br /> i <br />