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aR�Vim SAN JOAQUIN COUNTY <br /> s•���oI <br /> MIRONMENTAL HEALTH DEPARTMENT <br /> or - { 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)469-3420 Fax:(209)464-0138 Web:www.sjgov.org/chd <br /> �{CL fi b �vP <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Strut e O-Operation <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> _ -dam <br /> 2.Lift Pum PREMISE ADDRESS �+ REINSPECTION DATE <br /> 3.Fence Locked /-/ 9 �7 <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 /> S.Blower Aerator <br /> 9. Skimmers Clarification <br /> 10. Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds i <br /> 14.Excess Sludge -(�/J7 7�/LlC �Qz�Ll12fMI/.otb ��57 � <br /> 15.Sludge Sed s L S% i•-I <br /> 16.Weeds _ <br /> 17.Distribution Boz <br /> 18.Water Level Pits <br /> 19.Sounding Tube "mac�ci z�fPila 7r�(�! <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary ConditioniJ� <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitoring Well �l <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.T e of Chemicals <br /> 5.Unsanitary Condition )_ <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof ✓t� �1t+� <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. 0 +� <br /> 10.Additional Area Inside Hand Washin -'7�76:�) s � <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards pax /� 177i9��5 <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records5 <br /> 3.Lettering: <br /> Name ' ,Address(Y),Capacity 3" Cts a 7 <br /> Registration dumber 6" <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves / <br /> Valve Location �✓ �JJs7< / <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal <br /> ECEIVE ATE: J} <br /> 8.Yard Sanitation: <br /> Sanitary <br /> R.E.H. _ DATE: J ,y <br /> Adequate - �y_�L�y s7 y� /� ^y/ `'j�'/��'� <br /> EHDn2-02-W( � //19/� !'/c�c�/• `�'''�K /4-iY • <br /> 31191I0U5 J�•�'�=� <br /> 490 10 2-fC9-U) <br />