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SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> t, 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: 1 L�C INSPECTION DATE: 1 I /Z-� q-3 <br /> PREMISE ADDRESS: C� O �mT� CITY: / ZIP CODE: <br /> OWNER/OPERATOR: S j q L� d CO-n n + _LQ^ /� l TELEPHONE: Cy S <br /> PROGRAM ELEMENT: r L" i ] PROGRAM RECORD: O, q1 /fie IN1SPEECCGTIION`TYPE: b�L REINSPECT BYO: <br /> V RV # Code �1 Pumper Trucks/Yards T d T l <br /> Section The Items below/ resent health <br /> �/code violatiZmustcted: <br /> 1 HSCSJC1 17405' VALID PERMIT/REGISTRATION U-111081 i /l / �1/Y <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS ` > ` �+ /+ 99 <br /> HSC 117435 <br /> z V-e c I # <br /> IDENTIFICATION ,ADDRESS <br /> b D O ��3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY S b)61NCH:REGISTRATION NUMBER �.�1TANK: 1etwma)METAL CONSTRUCTION <br /> 4 HSC 117420 b)LEAK PROOF VALVES t <br /> SJLDR(9)(A) C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> l <br /> 5 HSC 117420 PUMP: <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. •GF r <br /> HSC 117420 HOSES: , p c� <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. ^ ` a <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) �j <br /> 6 HSC 117420 YARD: ✓ t d l `��((7� <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICALTQILETS cc? ' Q` {n <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) 'V —b <br /> 2 OWDS 11.10 STORAGE SITE jr `C rn U II +0 <br /> 3 OWDS 11.7 DISPOSALSITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE 1` o <br /> 7 OWDS 11.2 VECTOR PROOF SS ✓� <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 SO.Fr.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 1 9 LETTERING HEIGHTS CHES <br /> RECEIVED BY: TITLE: V DATE: <br /> REHS: j PHONE: if 6&_ v S�� ` DATE: r Z <br /> r Af <br /> V=Violati ;RV= pe ted olation qFIF BRJERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF_ <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />