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SAN JOAQUIN LCL HEALTTRICT <br /> 1601 E. HAZELTON AVENUE, P. 0. S 009 <br /> STOCKTON, CA 96201 --v PHONE: (209) 468-3420 <br /> Ud <br /> STE MANAGEMENT/SOLIWASTE INSPECTION FORM <br /> SOLID WASTE 0 INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO. <br /> VEM{GEES/EQU{pMENT �` Inspection D e <br /> E /9 6 <br /> STROPER. Q 1 <br /> Premise Address Rech mx ate <br /> 1. REGISTRATION (DMV) t l7 Al,v r <br /> __. 2. SOLID WASTE PERMIT THEITEMSBELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT -11L ' C� <br /> 4. IDENTIFICATION ,� 56 / <br /> A. Name (4" Height) 5 J P,S- <br /> (1- Width) Q r� <br /> B. ID Number(4" Height) <br /> (1" Width) /ry7 y 2 GJ�6 <br /> �"' C-7-G/ <br /> C. Lettering bath sides ✓ J—! <br /> 5. CLEANING / 1�®/ '` <br /> 6. MAINTENANCE 014 N - ®r <br /> _ 7. TAIL GATE SEAL Z-5^ JCQ 96 0-3 <br /> 8. CARRY TUBES / .- 3-2 79 q <br /> 9. RIDE. STEPS <br /> 10. BROOM/SHOVEL <br /> 5" 9 13 0 3 391 <br /> 11. ROIL OFF COVERS 98 $ y y <br /> a 12. LEAKAGE OR SPILLAGE y �, 3 6 ) <br /> CONTAINERS LI 63 $6./ <br /> �. 13. IDENTIFICATION over 1 yd.3 7--- <br /> vg G9 <br /> A. Name 4 A 9 9 <br /> w.,.,. ._,.._ B. Telephone Number <br /> Cy <br /> 14. CLEANING - I 0 S(® <br /> _ 15. MAINTENANCE 7-11 cif` <br /> 16. INSECTS — 1 �// <br /> cl <br /> YARD <br /> 17. SANITATION <br /> 18. PARKING / <br /> �/ <br /> 19:WASH [TOWN FACILITIES <br /> 20. HAZARDOUS WASTE STORAGE <br /> TIME/METHOD J l w;eec, bn <br /> NITARIAN RECEIVED BY <br /> EH 08 01 <br />