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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> m 304 East Weber Avenue, 3'd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> A LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure O=Operation <br /> S O Package Sewage Plant NAME OFFACILITy INSPEC ON DATE <br /> 1.Grease TrapI yC_ <br /> 2. Lift Pump PREMISE ADDRESSRE SPECTIO DATE <br /> 3.Fence Locked 0 W- /� <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 <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 w <br /> 18.Water Level Pits <br /> 19.Sounding Tube <br /> 2 . IntermittentDosing <br /> 2 1.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance y- <br /> 23.Failure Evident <br /> 24.Monitorin Report <br /> 25.Monitor-in Well <br /> S O Chemical Toilets <br /> I.Tank Capacity <br /> 2.Storage Site <br /> 3. isposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof .7 v p <br /> VIC- <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor wlUrinal 10 sq.ft. <br /> Floor na]8 sq.ft. � <br /> 10.Additional <br /> Area Inside Hand Washing <br /> 11.Lettering Height 3" r G <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(3"),Address(3"),Capacity 3" <br /> Registration Number(6") i <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 <br /> Cleaning Hose Adequate PROGRAM ELEMENT: /.4-1 3 <br /> PROGRAM RECORD: ��i /J I � 0/-/1OD 7 <br /> 7.Racks-Metal RECEIVED BY: - L� // DATE: <br /> 8.Yard Sanitation: <br /> Sanitary <br /> R.E.H. <br /> Adequate y� <br /> EIi4OW <br /> 311012005 <br />