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1$ SAN JOAQUIN COUNTY 10 <br /> 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 /> SOLID WASTE OFFICIAL INSPECTION REPORT Page .1. of <br /> OLID WASTE❑ INFECTIOUS WASTE DBA LL INSPE1119 DATE <br /> (-,I tTOn � ' cS '►feu t1.ec ine_ ® d I <br /> stmoture operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> O e- t 0 Nl <br /> ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE R <br /> ❑ ❑ 2. Solid Waste Permit 1`""—' (Islb e` y`e '53-17-3Y `I <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit <br /> ne- 1 1414a.111 PRoLiLA 2a <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> a <br /> ❑ ❑ A. Name: ff .�1 a <br /> 4"Height x 1"Width t�J S ®, S L <br /> El ❑ B. ID Number: c'1 <br /> 4"Height x 1"Width ` 1GnK <br /> ❑ ❑ C. Lettering both sides 'Lbs <br /> ❑ ❑ 5. Cleaning L0572,17 (tu D <br /> ❑ ❑ 6. Maintenance 5- I ® Nfvd \ <br /> 12- ❑ 7. Tail Gate Seal '1 o 4 �1 0K' <br /> E] ❑ 8. Carry Tubes ),III <br /> +V S1 Bt A FL L— ok <br /> ❑ ❑ 9. Ride Steps 395 01155 1 d/ <br /> 1 ( \ <br /> ❑ ❑ 10. Broom/Shovel S'3. (f 0 <br /> ❑ ❑ 11. Roll Off Covers '1- 'tV- ®rwL --^ <br /> Q� \ <br /> ❑ ❑ 12. Leakage or Spillage 3.u 5 FIL 'f J, �, <br /> structure Operation C O N T A I N E R S G7 <br /> ❑ ❑ 13. Identification over 1 yd 1 1' S.. O+ G0 4 f' 4 ju�r <br /> ❑ 1 ❑ A. Name �►) 4a ( r r I C <br /> ❑ ❑ B. Telephone Number 61010- <br /> ;t Seal LZ 'E) ❑ 14. Cleaning b1A J `Z.l]t <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> Structure Operation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking [� <br /> El El 19. Wash Down Facilities r �Z. 1]el1 Ate+ � <br /> 20.Hazardous Waste Storage RECEIVED B SP CTOR <br /> L7 ❑ Time/Method <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />