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xc� 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:ti/77/115, <br /> PREMISE ADDRESS: CITY: ZIP CODE: <br /> OWNER/OPERATOR: TELEPHONE: <br /> Zo9_)W2— <br /> PROGRAM ELEMENT: PR M R COR INSPECTI N TYPE: REINSPECT Y: <br /> b <br /> V RV # Code Pumper TrucksNards <br /> Section The items below present health code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION / <br /> HSC 117405 V <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS 2 , <br /> HSC 117435 YlAlf C _ CL2_ J <br /> IDENTIFICATION OF VEHICLES: 11� <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACI yr b� <br /> b)6 INCH:REGISTRATION NUMBER J <br /> 770 . <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES V <br /> d)VALVE LOCATION <br /> 5 HSC 117420 Pump: <br /> SJLDR(9)(B) No LEAKAGE,SPILLAGE OR SPLASHING. S S <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 <br /> 8 HSC 117420 YARD: / <br /> SJLDR(3) SANITARY AND ADEQUATE. v <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS 11.10 STORAGE SITEOf <br /> 3 OWDS 11.7 DISPOSAL SITE <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 SMOOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FF.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SQ.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3 INCHES <br /> RECEIVED B . TITLE: DATE: <br /> REHS: PHONE: DATE: <br /> 09 <br /> AJ <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 />