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1 <br /> SAN JOAQUIN COUNTY <br /> 4:{lf!Y <br /> f� ENVIRONMENTAL HEALTH DEPARTMENT <br /> Wr < 304 East Weber Avenue, 3dFloor, Stockton, CA 95202-2708 <br /> Telephone.(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure O- peration <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1. se Trap <br /> 2.Lift Pum PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked 0;11 /-'11 157W. //- <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors <br /> 7, Soil Erosion <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification <br /> 10.Aerator-Color /� {, 6evue- <br /> 1].Sludge Return (�.� <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14.Excess Sludge ice' <br /> 15.Sludge Bed <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube zCG 7G " . <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition S <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident �6 c5�� <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2. Storage Site <br /> 3.Disposal Site " cir7C <br /> 4•Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6:Doors Self Close/Locking <br /> 7.Vector ProofJZLI7�' <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> H. Lettering Height 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records �7 fG �2!�ll�/ �z TMJ ,d <br /> 3.Lettering: <br /> Name(Y),Address(3"),Ca aci 3" <br /> Re istration Number 6") , <br /> 4.Truck Tank: q9 =� <br /> Metal Construction <br /> Leak Proof Valves (ate <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed 3) 6*7C--4VeA4 -117- zG-W1i/4!9 / <br /> b.Hoses: / /"�(5� C/ <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate r <br /> 7.Racks-Metal ECEIVED BY: DATE.- <br /> 8. <br /> ATE:8.Yard Sanitation: xi 4P <br /> Sanitary R.E.H.yAfG���� <br /> DATE: <br /> Adequate l�-BJL� <br /> EHD 42-02-006 f <br /> a� , /9�13 6- 2, <br /> 3/1012005 <br /> a5v"-7 �6 � j nc� C.�tvp�n°�/ <br />