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SAWOAOUIN COUNTY PUBLIC HEAI_T fERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, 3RD FLOOR <br /> STOCKTON, CALIFORNIA 95202 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> SOLID WASTE (� C INFECTIOUS WASTE <br /> COMPUTER �NO..P RO��Q9O <br /> r <br /> PERMIT NO. t 0000(1 Rill <br /> VEHICLES/EQUIPMENT 1. ' I �ew.cwa�L <br /> STR. OPER. G 1 I+0 h SO�1 r� vV m A eAt 12 / <br /> Promise Morass R9040 006 <br /> t. REGISTRATION (DMV) DO I Ar'c'lkre <br /> , <br /> 2. SOLID WASTE PERMIT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT <br /> 4. IDENTIFICATION <br /> r. <br /> A, Name(4" Height) <br /> 0 o {_,, L <br /> " Width) 93 --7 &1& au- V �1 i T C� <br /> B. ID Number(4" Height) /_ broke Sea,( red, <br /> (1" Width) 7 CY -1�(��I'7 01.b1 t�t�. I+ <br /> C. Lettering both sides I3' 5L3Sa3,5 (,i1i6inf,$ li+ 0k <br /> 5 CLEANING - 5 -7 t)Ll1 5/0779 R tort, -f-arn <br /> 6. MAINTENANCE 34 55Noq 154 FL 0k <br /> 7. TAIL GATE SEAL qQ -7M 34 5-1(0go r f-6rn +0,1- <br /> - <br /> 6. CARRY TUBES p �7 /�14 0(o r 31 FL o k <br /> 9. RIDE STEPS ` o� q D 3 III am f-a d k <br /> 10. BROOM/SHOVEL <br /> 11. ROLL OFF COVERS <br /> 12. LEAKAGE OR SPILLAGE All V?hrCle-S eo .+al.h Lroom s, Shoves, CLAA Fire <br /> CONTAINERS -�ctlnc►kistiers a c • tilp tb drip <br /> 13. IDENTIFICATION over 1 yd.) <br /> A. Name NO e ' 7v- C:kS 5A.n d- q have, fjr ±grgS R�t!GtCP <br /> B. Telephone Number - r4e,,eo.�_rhjp S' <br /> r� <br /> 14. CLEANING VehIefe e has broken► s; . on recyajhn4 <br /> 15. MAINTENANCE Side. i wain or replace ZR&f, <br /> 16. INSECTS <br /> YARD �LI�iCIe ala hAS r 12160a tea! <br /> #7 S .r.5 rLA(G�Ced #!!v <br /> _ 17, SANITATION h rL�lac�oL � � <br /> 18. PARKING #� <br /> _. 19. WASH DOWN FACILITIES t h <br /> _ 20. HAZARDOUS WASTE STORAGE <br /> TIME/METHOD <br /> Pub.Health-eHo les (12199) SA RIAN RECEIVED BY <br /> lig-9 96 <br />