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IA I <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ;* Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: INSPECTION DATE: <br /> L*i1C. obi L_. S Gc /l <br /> PREMISE ADDRESS: CITY: ZIP CODE: <br /> OWNER/OPERATOR: E TELEPHONE"je : <br /> PROGRAM ELEMENT: PROGRAM RECORD:/� ='li INSPECTION TYPE: REINSPECT BY: <br /> V RV # Code Pumper TrucksNards <br /> Section The items below present health code violations and must be corrected: <br /> 1 sic 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 P411n ZuL <br /> 2 SJC .& <br /> 11743 <br /> HSC 117435 MONTHLY PUMPING REPORTS <br /> D <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY - s <br /> b)6INCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION �L <br /> 4 SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> 5 HSC 117420 PUMP: <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. �- <br /> (9)(C <br /> HOSES: <br /> 6 HSC 117420 <br /> a)AVAILABLE AND ADEQUATE. /✓ ` <br /> SJLDR(9)(C) b)CLEAN AND WATERTIGHT. '� "" ��� � <br /> 41�77 AV-!j1 4415HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS <br /> 6 HSC 117420 YARD: 'G/jyl � , <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> i r <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) !V <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE �� L <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMCOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SQ.FT.) 11 <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(B SO.Fr.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3INCHES ' <br /> R EIVED BY: ITLE: ; DATE: <br /> REHS: PHONE: �/_ ql/� DATE: /1- 2 <br /> _l �1 <br /> ze� <br /> V=Violation, RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION"J PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />