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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: . +l C INSPECTION DATE: 1 I ��� <br /> PREMISE ADDRESS: / O CITY: ZIP CODE: <br /> OWNER/OPERATOR: I / r�n n TELEPHONE: " <br /> O-A �-i- v 7/ I C <br /> PROGRAM ELEMENT: pe <br /> /L i PROGRAM RECORD: / INSPECTION TYPE: REINSPECT BY. <br /> V RV g Code '�1 Pumper Trucks/Yards (' <br /> Section The Items below present health code violations and must be corrected: <br /> 1 sic -1110.8*1 HSC117405 VALID PEflMIT/REGISTRATION , V , Y, Tl�-4 1 r <br /> 2 SJC 9-1110.8; <br /> MONTHLY PUMPING REPORTS 9 274C-7 <br /> HSC 117435 L� <br /> IDENTIFICATION OF VEHICLES: Q <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY <br /> b)61NCH!REGISTRATION NUMBER ' <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION I <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 /> HSC 117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 11(420: METAL RACKS V J \ O <br /> SJLDR 9)(D) <br /> 8 HSC 117420 YARD: C . IYY1R <br /> SJLDR(3) SANITARY AND ADEQUATE. 7 C <br /> CHEMICALTOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) Y` <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSALSITE D r- <br /> S <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 /> -60 <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.Fr.) <br /> OWDS 11.1 FLOOR AREA W/OUr URINAL(8 SO.Fr,) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11. LErrERIN EIGHT 31 CHES <br /> RECEIVED BY: TITLE: �� DATE: � ( - LQ <br /> RENS: PHONE: _ O� �� DATE: t �7 i <br /> V=Viol n;RV/Rpea Violation j EE REVERSE SIDE FOR ADDITIONAL INFORMATION l PAGE:1 OF_ <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />