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�k11M SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure - peration <br /> S O Package Sewage Plan NAME OF FACILITY INSPECTION DATE <br /> 1.Greaap 414�5 71 6-2 . L- - /� <br /> 2.Lift Purnp PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked / '</, <br /> 4.Cross Connection <br /> 5.Odor The items below present health code violations and must be corrected: <br /> 6.Vectors <br /> 7.Soil Erosion ¢ - i <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification f 42�' 6 <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 r dG �i+f <br /> 20.Intermittent Dosing . lv� <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident <br /> 24,Monitoring Report l <br /> 25.Monitorin Well %t// <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition Y.5-176:a <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof 4:511, O &Sdi <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> I Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washingi� <br /> 11. Lettering Height 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records C'l. ry L,411r i-- <br /> 3.Lettering: <br /> Name(3"),Address(3"),Capacity 3" , -/-W/ /7 <br /> Registration Number(6") ) <br /> 4.Truck Tank: �' �f?�� 1 <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 <br /> 7.Racks-Metal RECEIVED BY: DATE: �j�i <br /> 8.Yard Sanitation: z&r?? 4 <br /> Sanitary <br /> R.E.H.S. DATE: <br /> Adequate <br /> EHD 42-02-006 <br /> 3!1012005 <br /> i <br />