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"eAN JOAQUIN COUNTY ` <br /> �y�4t1ly.c <br /> �4 orf•O <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> W. s 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 /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure O=Operation <br /> S 1 01 Package Sewage PlantNAME OF FACILITY INSPECTION DATE <br /> 1.Grease Trap + -0-F <br /> 2. Lift PuTp PREMISE AbDRESd REINSP CTION DATE <br /> 3.Fence Locked o C-�. <br /> 4.Goss Connection The items below present health code'violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors <br /> 7.Soil Erosion 4 s <br /> 8.Blower Aerator rr <br /> 9.Skimmers Clarification d U r Vo-Qoc <br /> - <br /> 10.Aerator-Color r <br /> 11.Sludge Return V I Y) <br /> 12.Eluent Clarity <br /> 13,Polish Ponds <br /> 14.Excess Sludge <br /> 15.Sludge Bed 1'17S L <br /> 16.Weeds <br /> 17,Distribution Box <br /> 18.Water Level Pits r <br /> 19.Sounding Tube <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition PC wynv '2 SC <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident jfMn S: <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets <br /> 1.Tank Capacity ( *=LCry"t11+ <br /> 2. Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitag Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof WU'e- <br /> Q (� <br /> 8.Surfaces Smooth/Easily Clean �^ <br /> 9.Floor w/Urinal 10 sq.ft. C <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards x" O -35-3- q040 <br /> 1.Valid PermitlRe istration <br /> 2.Pumping Records <br /> 3.Lettering <br /> Name(3") Address(3"),Capacity 3"Registration Number(6") 1 �� <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Scaled <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: /1 -]q,7- PROGRAM RECORD: ego� �T <br /> Cleaning Hose Adequate /7ye <br /> 7.Racks-Metal RECEIVED sY:x /T DATE: g �� <br /> 8.Yard Sanitation: lT' <br /> Sanitary R.E.N.S. DATE: I �� <br /> Adequate <br /> EHE 42-02-006 <br /> 3/1012005 <br />