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S*OAQUIN COUNTY PUBLIC HEALTIRVICES <br /> SI N <br /> I <br /> ENVIRONMENTAL HEALTH DIVISI N <br /> 304 EAST WEBER AVENUE, 3RD <br /> FLOOR <br /> . STOCKTON, CALIFORNIA 95202 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> C SOLID WASTE LC INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO. <br /> VEHICLES/EQUIPMENT ODA InspMianpols <br /> STR. R. 03! (-6� �Zovezkr_ G I <br /> Promise hpCkV <br /> 1. REGISTRATION (DMV)2. SOLID WASTE PERMIT THE IT _S BELOW REPRESENT CODE YIPLATIONS AND MUST BE CORRECTED: <br /> 3, INFECTIOUS,WASTE PERMIT <br /> 4. IDENTIFICATION <br /> r-A '7 8L <br /> A. Name (4" Height) IL <br /> (1- Width) <br /> B. ID Number(4" Height) <br /> (I- Width) Ila VL A <br /> C. Lettering both sides <br /> S. CLEANING 9) LS <br /> & MAINTENANCE <br /> 7 TAIL GATE SEAL yo <br /> 8. CARRY TUBES <br /> 9. RIDE STEPS I910,P) <br /> 10. BROOM/SHOVEL <br /> 11. ROLL OFF COVERS <br /> �2 IQ SrL <br /> 12. LEAKAGE OR SPILLAGE <br /> CONTAINERS lot �of Rzs-I,I <br /> 13, IDENTIFICATION over I yd.3 ------ <br /> cl' 00 <br /> A. Name m <br /> B. Telephone Number <br /> 14. CLEANING U (10 1 1,21'r1l <br /> 15. MAINTENANCE <br /> 16. INSECTS <br /> YARD <br /> st-it®Fax Note 7671 Dale -d,44AP'a0g_'e-1,- <br /> 17. SANITATION <br /> I& PARKING T® V10._q;v_.0L'Q1A <br /> Co./Dept. Co. sz'cl Is 4:1, <br /> 19. WASH DOWN FACILITIES Phone# Phone# <br /> 20. HAZARDOUS WASTE STORAGE Fax# Fax# <br /> TIME/METHOD <br /> A <br /> Pub.Health-EHD 283 (12/99) <br /> VNITARIAN iEIVED BY <br />