Laserfiche WebLink
• Rtl�?!H SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 1 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure O=Operation <br /> S O Packa a Sewa a Plant NAME OF FACILITY INSPECTION DATE <br /> { 1.Grease Trap <br /> 2. Lift Pump PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence LockedQ <br /> 4.Cross Connection <br /> S.Odor The items below resent health code violations and must be corrected: <br /> - P <br /> y <br /> 6.Vectors <br /> 7. Soil Erosion <br /> 8.Blower Aerator <br /> 9.Skimmers Clarification .- <br /> 1 10.Aerator`=Color <br /> 11.Sludge Retum <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14•Excess Sludge <br /> i 15.Sludge Bed- <br /> 16.Weeds = /� <br /> 17.Dishibutiori:Box <br /> 18.Water Level Pits <br /> 19.SoundingTube. <br /> 20.Intermittent 1)6sin <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/E ui ment Maintenance <br /> V 23,Failure Evident <br /> 24.Monitoring Re rt .��,fa r <br /> 25.MonitoringWell i:- , - /-/; <br /> S O Chemical Toilets <br /> 1.Tank Capacityr�. r- - j i5✓ �/. ` �� - . <br /> 2.Storage Site / <br /> 3.Dis sal Site CYC( <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof 2z' - = �f <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Unnal 10 sq.ft. -"/v ;^��-�--1 :•� r - x:: �r�-. %int,,.._ , <br /> Floor w/oUrinal 8 sq.ft. I <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards <br /> I.Valid Permit/Registration = <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(3"),Address(Y),Capacity 3" i`� x c� .;J" - :•�- i ' <br /># Re istration Number(6" <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves I <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6,Hoses: <br /> Pump Hose Adequate <br /> PROGRAM ELEMENT: � PROGRAM RECORD: - <br /> Cleaning Hose Adequate 77s <br /> I 7.Racks-Metal RECEIVED BY: DATE: r' x <br /> 8.Yard Sanitation: <br /> SanitaryR.E.H.S DATE: <br /> Adequate - <br /> I EHD 42-62-006 - ' <br /> E 3110/2005 <br />