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a o '� SAN JOAQUIN COUNTY <br /> 4t�t'Y <br /> ENVIRONMENTAL HEALTH DEPART �M�' <br /> 304 East Weber Avenue, 3"¢Floor, Stockton, CA 95202-2708 <br /> Telephone.(209)468-3420 Fax. (209)464-0138 Webb:www.sjgov.org/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure 0= ration <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1, ase Tra <br /> 2.Lift PumpPREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked 22f- <br /> 4. <br /> 5.Odor Connection The items below present health code violations and midst be corrected: <br /> 6.Vectors <br /> 7.Soil Erosion <br /> 8.Blower Aerator <br /> 9.Skimmers Clarification <br /> 10.Aerator-Color <br /> 11.Sludge Return _ <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds ` <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19. Sounding Tube <br /> 20.Intermittent Dosing1 <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/E ui ment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.MonitorinR Well <br /> S O Chemical Toilets <br /> 1.Tank Capacity �- C� ,•���� -�. <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition ' /" /S - "- o a - <br /> 6.Doors Self Close/Locking_ <br /> 7.Vector Proof <br /> S.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> I I.Lettering Height 3" <br /> S O Pumper TruckslYards f/ 7 ( /,5 <br /> 1.Valid Permit/Registration <br /> 2.PunMing Records <br /> 3.Lettering: <br /> Name(Y),Address(3"),Capacity 3" - 4-CZP;j <br /> Re istration Number(6") <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves # <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate �j I <br /> 7.Racks-Metal <br /> ECEIVED BY: DATE: <br /> 8.Yard Sanitation: <br /> Sanitary <br /> R.E.H. DATE: f <br /> Adequate <br /> 3/10/20052 <br />