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ul . SAN JOAQUIN COUNTY <br /> ata ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> crt ' 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: D r^I � C ' INSPECTION DATE: <br /> Zo Zo F <br /> PREMISE ADDRESS: '�"' LO i w Jn ` CITY: L-0 A; ZIP CODE: q r <br /> OWNER/OPERATOR: Lore /'� ,/wL�� TELEPHONE: Qaq) 4S- 2- <br /> j f2!—JOO q <br /> PROGRAM ELEMENT: '2 PROGRAM RECORD: • `/IJ 1 INSPECTION TYPE: rj ^ E``IN�.�fJP(.fJE11CTT BYE <br /> V RV # Code Pumper TrucksNards �, <br /> Section The items below resent health code violations and must be corrected: <br /> 1 <br /> SJC 9-1110.8; ' 2 <br /> HSC 117405 VALID PERMIT/REGISTRATION 4 <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> h <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY , (� s <br /> b)61NCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 b)LEAK PROOF VALVES <br /> SJLDR(9)(A) C)MANUAL VALVES Qv <br /> d)VALVE LOCATION IDA/ -�J^q_� L � <br /> HSC 117420 PUMP: `a `-S � r)n 0 Lt VA 0f^ I <br /> 5 SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. G <br /> HOSES: Lie ' <br /> SJLDR(9)(C <br /> 6 HSC 117420(9)(C) a)AVAILABLE AND ADEQUATE. 1 <br /> b CLEAN AND WATERTIGHT. <br /> C 1IA Q u2o�.S n 4 <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) hG <br /> 6 HSC 117420 YARD: PLOWP '!grroO O <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS rmo <br /> wAff��),01 kw0wl� I� <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) 1 2 OWDS 11.10 STORAGE SITE Vt �{ '� e �� W� 0— �C <br /> 3 OWDS 11.7 DISPOSAL SITE + ( a <br /> r <br /> 4 OWDS 11.6 TYPE OF CHEMICALS 146 9ga <br /> 5 OWDS 11.8 UNSANITARY CONDITION t(K f••'V r <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 -CA e. <br /> " <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SQ.FT.) <br /> C -rru�k lab <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SO.FT.) 0 la, <br /> 10 OWDS 11.1 SUFFICIENT SP ACE. •+ <br /> 11 OWDS11.9 LETTERING HEIGHT 3 INCHES I Y+l✓ '��� ° '�V�C <br /> /V 1 <br /> RECEIVED TIT ATE: <br /> RENS: PHONE:20, <br /> Ojj �l/ -7� -- DATE: /00 � g <br /> V=Violation;RV= ep ted Violati n S=E REVERSE SIDE FOR AD I IONAL INFORMATION S � � PAGE:1 OF <br /> b <br /> EHD 42-020 ! rM1'� Ja`�� � tlC[C I� a PUMPER TRUCK OIR <br /> 4/24/12 - 5,b vn-el k0 <br />