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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �(�IFORN <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: INSPECTION DATE: <br /> 1z- s-i <br /> PREMISE ADDRESS: ST CITY: 5 ZIP CODE: <br /> OWNER/OPERATOR: -� TELEPHONE: <br /> PROGRAM LEMENT: PROGRAM RECOR INSPECTION TYPE: REIN ECT Y: <br /> MINIM <br /> 7i3 6Z SL <br /> V RV M action Pumper TruckslYards The items below present health code violations and must be corrected: <br /> 1 SJC 1110.8 <br /> 1 <br /> HSC 117405; VALID PERMIT/REGISTRATION <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> 164 <br /> IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)31NCH:NAME,ADDRESS AND CAPACITY ✓ S <br /> b)61NCH: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 4w'( <br /> NO <br /> HSC 117420 PUMP: 'w` <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. / <br /> C� <br /> HSC 117420 HOSES: <br /> 5 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. _ <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <br /> 9 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICALTOILETs <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) A -J 41 <br /> 2 OWDS11.10 STORAGE SITE <br /> 3 OWDS 11.7 015P 1-SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS Z67Glib A[�� j <br /> 5 OWDS 11.8 UNSANITARY CONDITION w <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE <br /> Z <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 6 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA w/URINAL(1a M FTJ <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL IS w.FT.) ) dN y <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS11.9 LETTERING HEIGHT 31NCHES r�� /— <br /> ECEIVED BY: , TITLE: DATE: <br /> REHS' PHONE: DATE: r <br /> V=Violatio V=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF_ <br /> EHD 4 020 PUMPER TRUCK OIR <br /> 10/16/07 <br />