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SAN JOAQUIN COUNTY <br /> r ENVIRONMENTAL HEALTH DEPARTMEN= , <br /> a: X 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2 ,08 <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 O Package Sewage Plant [NAME OF FACILITY 11487) F DATE <br /> 1.Grease Tra / lyL / /��2.Lift Pum REMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked <br /> 4.Cross Connection <br /> 5.Odor The items below present health code violations and must be corrected: <br /> 6.Vectors <br /> 7.Soil Erosion <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification 7626 <br /> 10.Aerator-Color <br /> 11. Sludge Return �- <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14.Excess Sludge <br /> 15.Sludge.Bed <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube <br /> 20.Intermittent Dosing �' ✓ <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/E ui ment Maintenance <br /> 23.Failure Evident i <br /> 24.Monitoring Report <br /> 25.Monitoring Well j <br /> S O Chemical Toilets <br /> 1.Tank Cap7ity <br /> d <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition 1- <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8. Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal l0 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washin <br /> 1 l.Lettering Height 3' <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records C / <br /> 3. Lettering: <br /> Name(3),Address(3"),Ca aci 3" <br /> Registration Number(6") <br /> 4.Truck Tank: r <br /> Metal Construction " <br /> Leak Proof Valves /13 <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: / PROGRAM RECORD: r� <br /> Cleaning Hose Adequate J Jr <br /> 7.Racks-Metal <br /> 8.Yard Sanitation: RECEIv sY: DATE: <br /> Sanita �Y <br /> R.E.H.S. DATE: <br /> Adequate <br /> EHD 42-02-606 <br /> 1012005 <br />