Laserfiche WebLink
AN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> .Telephone. (209)468-3420 Fax:(209)464-0138 Web.www,sjgov.org/chd <br /> Q6��' LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure O=Operation <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1.GreaseTrap r✓ 6 <br /> 2.Lift Pum PREMISE ADDRESS REIf4SPrECTf0N DATE <br /> 3.Fence Locked �C <br /> 4.Cross Connection <br /> I <br /> 5.Odor The items below present health-code viola#r io ust be corrected: <br /> 7.7 Soiltors <br /> Erosion / I - r r14n <br /> k„ 1 <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification <br /> 10.Aerator-Color 4 <br /> 11.Slud a Return ( �S <br /> 12.Effluent Clarity <br /> 13.Polish Pondshe-SW p °� <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds ! <br /> 17.Distribution Box zl <br /> I&Water Level Pits <br /> 19.Sounding Tube r <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition 1'( 60 <br /> 22.Yard/Equipment Maintenance ' <br /> 23.Failure Evident Q� <br /> 24.Monitorin Re rt VIf: <br /> 25.Monitoring Well ri <br /> S 01 Chemical Toilets <br /> 1.Tank Capacity - i ! <br /> 2. Storage Site <br /> 3.Disposal Site <br /> 4.T)je of Chemicals <br /> 5. Unsanitary Conditionlr <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof IG Ae,44 6 <br /> S. Surfaces Smooth/Easily Clean r <br /> 9.Floor w/Urinal 10 sq.ft. �' _ <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing r S 1 <br /> 11.Lettering Height 3" <br /> ;1 <br /> S O Pumper Trucks/Yards `r ' <br /> 1.Valid Permit/Registration �- <br /> 2.Pumping Records] rs k <br /> 3.Lettering: <br /> ]Name(Y),Address(Y),Ca aci 3" s <br /> Registration Number(6") p <br /> 4.Truck Tank: B©6� J. SS /Q <br /> Metal Construction <br /> Leak Proof Valves r <br /> Manual Valves <br /> Valve Location 67v�s •. I <br /> i <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: r PRor.RAM RECORD: y� / / ! <br /> Cleaning Hose Adequate "( R ra <br /> 7.Racks-Metal RECEIVED BY: ; - DATE: <br /> 4 8•Yard Sanitation: <br /> Sanitary _._ <br /> R.E.F#.S. - .._ � DATE: <br /> "" "Ade uate <br /> ERD 42-92-006 <br /> - 311012005 r ' <br />