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y <br /> " �RllY <br /> YAN JOAQUIN COUNTY <br /> �. ENVIRONMENTAL HEALTH DEPARTMENT <br /> W X 304 East Weber Avenue, 3�d Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd <br /> iota LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S-Structure 0-Operation <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1.Grease Trap c ik4o6,1.--4. $11-?/ CFE� <br /> 2. Lift Pump PREMISE ADD ESS REINSPECTION DAT <br /> 3.Fence Locked SS-D <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors <br /> 7. Soil Erosion . <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification <br /> 10. Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity --�-�' <br /> 13.Polish Ponds o" <br /> 14,Excess Sludge <br /> 15.Sludge Bed - GVVIOL t . clrW- <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube 6(, ,{ <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition . <br /> 22.Yard/Equipment Maintenance u1n 2- <br /> 23. <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitoring Well Few" <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof �. " <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Unnal 10 sq. ft. CL Cj6 j2 e <br /> Floor w/oUrinal 8 sq.t. <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards 4 <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records rl3 + S <br /> 3.Lettering: <br /> Name(3"),Address(3"),Capacity 3" 43.4� c <br /> Registration Number 6") ,J� <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location o[ <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate 4Z 4 L <br /> 7.Racks-Metal RECEIVED BY: DATE: / <br /> 8.Yard Sanitation: <br /> Sani R.E.H.S. DATE: <br /> } <br /> Adequate <br /> EHD 42-02-006 <br /> 1' , 3/1012005 - __ <br />