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�Q. tllk SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM F <br /> 0e < 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> •: Telephone:(209)468-3420 Fax;(209)464-0138 Web.www.sjgov.org/chd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure O- Aeration- <br /> S 10 Package Sewage Pla NAME OF FACILITY INSPECTION DATE <br /> 1.Grea ra <br /> 2. Lift Pump---=z==;--- <br /> 1 <br /> um PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked /� � �rr <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 <br /> 10.Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds -eV6 <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds �2 <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/Equipment Maintenance <br /> 23.Failure Evident = RerV e5r L <br /> 24.Monitor-in Report <br /> 25.Monitoring Well �� <br /> S O Chemical Toilets <br /> 1.Tank Ca acitX <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8. Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. L �� <br /> Floor w/oUrinai 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards =j � Zl(.L{ 3 <br /> 1,Valid Permit/Registration <br /> 2.Pumping Records �. <br /> 3.Lettering: <br /> Name(3"),Address(3"),Ca aci 3" rS. <br /> Registration Number(6") <br /> 4.Truck Tank: f�19� ✓P1 S <br /> Metal Construction _ <br /> Leak Proof Valves � �la/ <br /> Manual Valves <br /> Valve Location zeypn C/ <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: l�c� <br /> Cleaning Hose Adequate �e <br /> 7.Racks-Metal RECEIVED BY: ATE: <br /> 8.Yard Sanitation: 42 <br /> Sanitary R.E.H. DATE: <br /> Adequate /Z <br /> EHD 42-02-406 <br /> 3/1012005 <br />