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tou►,� <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: V4',1 ,1 l �r INSPECTION DATE: /'2— <br /> PREMISE <br /> Z Z�� <br /> PREMISE ADDRESS: T Mer T QN�� CITY: _ / ZIP C0D S <br /> OWNER/OPERATORy �dst /[ Tf ELEPHONE: <br /> PROGRAM ELEMENT: ZyPROGRAM RECORD: D S 1 <br /> Pi 5� SPECTION TYPE: REINSPECT BY: <br /> t� <br /> V RV # Code Pumper Trucks/Yards <br /> Section FItemsw resent health code violations and must be corrected: <br /> 1 SJC 9 1110.8; VALID PERMIT/REGISTRATION t�erLt -HSC 117405 SJC .$2 <br /> HSC 117435 MONTHLY PUMPING REPORTS S N � 3_51O <br /> Z Z <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY <br /> b)61NCH:REGISTRATION NUMBER <br /> 12-35 Z7— <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 b)LEAK PROOF VALVES <br /> SJLDR(9)(A) C)MANUAL VALVES <br /> d)VALVE LOCATION Q ���'� <br /> 5 HSC 117420 PUMP: <br /> SIS oaaD CoN -Abr1 <br /> SJLDR(9)(13) NO LEAKAGE,SPILLAGE OR SPLASHING. { D A <br /> HSC 117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> HSC 117420; S <br /> b)CLEAN AND WATERTIGHT. _ IQ r CJ ; <br /> 7 SJLDR(9)(D) METAL RACKS <br /> 8 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS j <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> U LQ / �S✓Y t ►'1�t /� <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE — -5!!!7w4 qynas,, o r }v 61 f 1 <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 7 <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SQ.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SQ.FF.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3 INCHES <br /> RECEIVED BY: TITLE: DATE: <br /> RENS: P ONE: DATE: <br /> Zff�Y��- <br /> V=Violation; RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />