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t 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: t ✓I INSPECTION DATE: / <br /> PREMISE ADDRESS: �C O � CITY: J ,1 _ ' _/J` ZIP C E: <br /> 4(5_11�v�fl <br /> OWNER/OPERASQ$�__ ��/�TELLEEPPHOONE: <br /> PROGRAM ELEMENT: - PROGRAM RECORD: INSPECTION TYPE REIN PECT BY: <br /> V RV # Code Pumper Trucks/Yards <br /> Section The items below present health code violations and must be corrected: <br /> SJC 117405.8; <br /> 1 HSC 11740VALID PERMIT/REGISTRATION i <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> c.#d <br /> IDENTIFICATION OF VEHICLES: y 3 M I L <br /> 3 SJLDR(5) a)3INCH:NAME,ADDRESS AND CAPACITY �' v S .� ZN +M O <br /> b)61NCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 b)LEAK PROOF VALVES <br /> SJLDR(9)(A) C)MANUAL VALVES 1� <br /> d)VALVE LOCATION aexk <br /> /" Q ✓�V �'pc���a <br /> 5 HSC 117420 PUMP: V <br /> SJLDR(9)(B) No LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC 117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> HSC 117420- <br /> 7 SJLDR(9)(D) METAL RACKS (vwL�rtti <br /> 8 HSC 117420 YARD: C I,c,*rti ores �d cd� C, R„t a ' +- del le <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS +Lf— Y <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS 11.10 STORAGE SITE 0l <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> (AKA d Q rrw>t <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE ^ <br /> 7 OWDS 11.2 VECTOR PROOF �•i � <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN `O 4 (a ` Gam`Q <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SQ.FT.) r <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SQ.FT.) <br /> 10 OWDS 11.1 SUFFICIENTSPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3INCHES <br /> RECEIVED BY: u I� TITLE: ^v^` DATE: j�� <br /> �J ( MclnI ` <br /> RENS: ALM n �^ � PHONE: DATE: <br /> Ft 'r, 6 <br /> V=Violation;RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />