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SAN JOAQUIN COUNTY <br /> T ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • w Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: I SPECTION DATE. ':OqL <br /> e <br /> S '0 _1 } <br /> PREMISE ADDRESS: �® i CITY: O _/ ; IP CODE <br /> al <br /> OWNER/OPERATOR: r'D D TELEPHONE: Y r �� <br /> PROGRAM ELEMENT g_ a PROGRAM RECORD: D ��a INSPECTION TYPE' ;� REINSPECT BY: <br /> F <br /> V RV # Code Pumper Trucks/Yards <br /> Section Eitem.s,,.b:ow resent health code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405G <br /> SJC 9-1110.8; D Ss <br /> 2 HSC 117435 MONTHLY PUMPING REPORTS <br /> • . . C�� C <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a 3 INCH:NAME,ADDRESS AND CAPACITY � l�I(S V.• �V L L� QXVq <br /> INCH:REGISTRATION NUMBER ��y C <br /> V 71J <br /> TANK: <br /> a)METAL CONSTRUCTION � n1�++ Q <br /> 4 HSC 117420 b)LEAK PROOF VALVES 0 !2n11> C <br /> SJLDR(9)(A) C)MANUAL VALVES CQ `LX C <br /> d)VALVE LOCATION rt <br /> HSC 117420 PUMP: <br /> 5 SJLDR(9)(B) No LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. w <br /> HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS + � d <br /> 8 HSC 117420 YARD: S m <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSALSITE * c�.v� gk r <br /> 1 40 <br /> 4 OWDS 11.6 TYPEOFCHEMICALS NJ <br /> A <br /> s OWDS 11.8 UNSANITARY CONDITION J <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 SO.Fr.) <br /> a <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(B SO.Fr.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 31NCHES <br /> RECEIVED B TI LE:PT DTE: <br /> REHS: PHONE �/� DATE: <br /> V=Violation;RV=§qepeated Vi lati SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />