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Q A4!!N r SAN JOAQUIN COUNTY ( r <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 <br /> W 304 East Weber Avenue, 3�d Floor, 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=Structur -Operation <br /> S Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> se <br /> Trap <br /> 2.Lift Pump PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked <br /> 4.Cross Connection ire itelr heNA31111r "'heeda.)Izial>atiAng ad must-ire-eeiFr-eeted <br /> 5.Odor <br /> 6.Vectors <br /> 7. Soil Erosion %�Effra21`�15 �itf5 Zl1 , . p, <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification <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 ��i���iZya� r!C <br /> 18.Water Level Pits <br /> 19.Sounding Tube C 2 ly-Z4.1 <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary ConditionS� L AJC � 2-- <br /> 22. <br /> r22.Yard/E ui ment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitorin Well � � cv <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disinal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitaa 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. Zr <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washingc � <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards �� _ - r <br /> I3 <br /> 1.Valid Permit/Registration f <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(3"),Address(3'),Capacity 3" ,i -.UO <br /> Registration Number(6") <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves - A r GC/�I•� ..�1�G��L <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6.Hoses: Z-513 931-Z-RFR - <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal <br /> RECEIVED BY: DATE: <br /> S.Yard Sanitation: V <br /> Sanitary <br /> R.E.H.S. DATE: <br /> Adequate <br /> EHD 42-02-666 -..� <br /> 3!1012005 </j,�j .�9yC'�/`�`h5•tf� <br />