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Op ..0 <br /> I �.• - .o� SAN JOAQUIN COUNTY <br /> 1r; k - "� ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' .. 600 East Main Street, Stockton, CA 95202-3029 <br /> �•:;.. Telephone: 209 468-3420 Fax; 209 464-0138 Web:www.s ov.or lehd <br /> { } ( ) 79 9 <br /> .PUMPER TRUCKSIYARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: INSPECTION DATE: <br /> PREMISE ADDRESS: s•T CITY: ZIP CODE: <br /> i <br /> OWNER/ ERATOR ✓ �� TE PHON <br /> PROGRAM LEMENT: PROGRAM RECORD: INSPECTION TYPE: REINSPECT BY: <br /> V RV # Code Pumper TrucksNards <br /> Section Rhealth code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 G : <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS HSC117435IDENTIFICATION OF VEHICLES: <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY61NCH:REGISTRATION NUMBERTANK: <br /> HSG 117420 a)METAL CONSTRUCTION4 SJLDR(9)(A) b)LEAK PROOF VALVESC)MANUAL VALVES = <br /> d)VALVE LOCATION <br /> 5 HSC 117420 Pump: <br /> SJLDR(9)(B) No LEAKAGE,SPILLAGE OR SPLASHING. <br /> HOSES: , <br /> 6 HSC 117420 a)AVAILABLE AND ADEQUATE. <br /> SJLDR(9)(C) b)CLEAN AND WATERTIGHT. / <br /> HSC 117420; <br /> SJLDR(9)(D) METAL RACKS <br /> 8 HSC 117420 YARD: ` <br /> SJLDR(3) SANITARY AND ADEQUATE. �� <br /> CHEMICAL TOILETS , 4Ze iJ Gv� <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS1110 STORAGE SITE <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 WIURINAL(10 SQ.FT.) w <br /> OWDS 11.1 FLOOR AREA WIOUT URINAL(850,FT.) �� <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3 ENCHES <br /> RECEIVED BY: TITLE: <br /> y' DATE: <br /> REH PHONE: DATE: 12-—,16 <br /> V=Vial ' n;RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 10/15107 <br />