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REQ t" SAN JOAQUIN COUNTY <br /> 'I ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: � INSPECTION DATE: <br /> PREMISE ADDRESS: 4cov 1 WAY CITY: ZIP CODE: <br /> OWNER/OPERATOR: TELEPHONE: <br /> i <br /> PROGRAM ELEMENT: �A4 PROGRAM RECORD: O qZZ I) INSPECTION TYPE: REINSPECT BY: <br /> '7 � <br /> V RV # Code Pumper TrucksNards <br /> Section T! items bema -efiens and mus!he-ew*eclad: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 /�/� <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS o �' -Cjo `��" <br /> HSC 117435 <br /> o <br /> IDENTIFICATION OF VEHICLES: ` <br /> 3 SJLDR(5) a)3INCH:NAME,ADDRESS AND CAPACITY /) <br /> b)6INCH:REGISTRATION NUMBER <br /> I� <br /> TANK: <br /> IA it HSC 117420 a)METAL CONSTRUCTION V <br /> 4 SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 PUMP: V <br /> 5 SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC 117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <br /> 8 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <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 <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SQ.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3INCHES <br /> RECEIVED BY: TITLE: DATE: <br /> RENS: PHONE: DATE: <br /> i <br /> AV <br /> r <br /> V=Violation; RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAG :1 OF <br /> EHD 42-020 PUMPER TRUCK OIR <br /> 4/24/12 <br />