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QU: '', o SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> y 600 East Main Street, Stockton, CA 95202-3029 <br /> :. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY _ <br /> INSPECTION DATE: <br /> PREMISE ADDRESS _ y� I <br /> � CITY: ZIP CODE: <br /> OWNERIOPERATOR. - <br /> TELEPHONE ..-. > <br /> PROGRAM ELEMENT: t' n PROGRAM RECORD: I SPECTIOIV TY . : - REINSPECT BY: <br /> V RV # Code Pumper TrucksNards <br /> Section _ The items below present health code violations and must be corrected: <br /> SJC 9.1110.8, VALID PERMIT/REGISTRATION <br /> HSC 117405 <br /> SJC 9.1110.8; <br /> HSC 1174 <br /> 2 MONTHLY PUMPING REPORTS <br /> 35 p <br /> IDENTIFICATION OF VEHICLES: t <br /> 3 SJLDR(5) a)3INCH:NAME,ADDRESS AND CAPACITY ) ' <br /> b)6 INCH:REGISTRATION NUMBER --- <br /> ... <br /> TANK <br /> 4 HSC <br /> 8)METAL CONSTRUCTION <br /> R 9)(A) r <br /> SJLDR(9}(A( b)LEAK PROOF VALVES c <br /> C)MANUAL VALVES r <br /> d)VALVE LOCATION �.0 - <br /> HSC 117420 PUMP: t "r x�'r e . <br /> 5 SJLDR(9)(8) NO LEAKAGE.SPILLAGE OR SPLASHING. <br /> HSCSJLDR <br /> R(9)(C- HOSES: <br /> B d)AVAILABLE AND ADEQUATE. <br /> SJLDR(9)(C) b)CLEAN AND WATERTIGHT. <br /> Ina h ? <br /> HSC 117420; , <br /> 7 SJLDR(9)(D) METAL RACKS , <br /> 8 <br /> HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. { gyp i R 1X. <br /> ) <br /> CHEMICAL TETS <br /> OIL ,,. <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS 11.10 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 -----Pvjzxx�Q-0 01 <br /> - <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.Fr.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 Go.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. ` <br /> 11 OWDS 11.9 _yLE�TTE�ING H HT 31y ES <br /> RECEIVED BY: rt J r TITLE: DATE' <br /> REHS: � f' PHONE: DnrE: <br /> r <br /> V=VIOIa(lon;RVI=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF_ <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 10116/07 <br /> I <br />