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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3"'Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/chd <br /> ���rFORN\P LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure O=Operation <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1.Grease Tra Med 0F <br /> 2. Lift Pump SS REINSPECTION DATE <br /> 3.Fence Locked 'EVI <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors <br /> 7.Soil Erosion 209 23 Uo L <br /> 8.Blower Aerator r x �� g-S3 - <br /> 9. Skimmers Clarification Z <br /> 10.Aerator-Color <br /> e <br /> 11.Sludge Remm <br /> 12.Effluent Clarity <br /> 13.Polish Ponds 'cyr <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 Dosing <br /> 21.Hazard Unsmitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident el Af <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets <br /> 1.Tank Capaci 2 <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8.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 Wash in 7-11-1.4 3 - 2 <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration 4 <br /> 2.Pumping Records !2 <br /> am rzwnc- <br /> 3.Lettering: <br /> Name(Y),Address(3"),Capacity 3" <br /> Registration Number 6") <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location _ <br /> 5.Pum s Sealed <br /> 6.Hoses: <br /> Pum HME <br /> Hose Ade uate PROGRAM ELEMENT: PROGRAM RECORD: ? <br /> Cleanin Hose Ade uate <br /> 7.Racks-Metal RECEIVED BY: <br /> 8.Yard Sanitation: <br /> Sani R.E.H.S. DATE: <br /> Adequate Z <br /> w <br />