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' '' ' 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.sjgov.org/ehd <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: S / INSPECTION DATE: 12-1-&/I <br /> 77 <br /> f REMISE ADDRESS: f (' CITY: ) O ZIP CODE: <br /> OWNER/OPERATOR: TELEPHONE: -�;2'QO (J <br /> PROGRAM ELEMENT: ��� PROGRAM ECORD: INSPECTION TYPE: / REINSPECT BY: <br /> V RV # CodePumper Trucks/Yards <br /> Section The Aemg <br /> 1 SJC .8; <br /> 11740 <br /> HSC 117405 VALID PERMIT/REGISTRATION �W i v <br /> 2 HSC 117435SSC 9-1110.8; MONTHLY PUMPING REPORTS S W <br /> IDENTIFICATION OF VEHICLES: �' <br /> 3 SJLDR(5) a)3INCH:NAME,ADDRESS AND CAPACITY <br /> b)6INCH:REGISTRATION NUMBER <br /> N 6 CD3 os <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION �O — <br /> 4 SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> 5 HSC 117420 PUMP: <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. O n C <br /> HSC 117420 HOSES: V J <br /> B SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <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.) S f– U( <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 5 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.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SO.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3INCHES <br /> RECEIVED BY: ; r TITLE: DATE: <br /> e" <br /> REHS: PHONE: may' DATE: b <br /> 1(2 <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 />