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SAN JOAQUIN COUNTY <br /> .'. <br /> EN"I ONMENTAL HEALTH DEPARTM <br /> AT <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 I of <br /> D INSPECTION DATE <br /> SOLID WASTE❑ INFECTIOUS WASTE + /� // <br /> FACILITY ADDRESS REINSPECTION DATE <br /> Structure Operation VEHICLES/EQUIPMENT n <br /> ❑ ❑ 1. Registration(DMV) OWNERIOPERATOR PHONE <br /> VC v <br /> ❑ ❑ 2. Solid Waste Permit INSPECTION TYPE PROGRAM ELEMENT 'TOTAL#OF VEHICLES RECORD ID <br /> Au�lxuf_ TV�C062 7 <br /> ❑ C] 3. Infectious Waste Permit The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: 11 <br /> ❑ ❑ A. Name: <br /> 4"Height x 1"Width <br /> El El 4" <br /> ID Number: <br /> 4"Height x 1"Width <br /> ❑ ❑ C. Lettering both sidesve4. Z°® K <br /> ❑ ❑ 5. Cleaning / <br /> ❑ ❑ 6. Maintenance / 7� `1 <br /> ❑ ❑ 7. Tail Gate Seal 1 77 <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps IS /"'�j <br /> ❑ ❑ 10. Broom/Shovel ►a '/� �" j^ <br /> ❑ ❑ 11. Roll Off Covers <br /> ❑ ❑ 12. Leakage or Spillage <br /> structure operation C O N T A I N E R S <br /> ❑ ❑ 13. Identification over 1 yd <br /> ❑ ❑ A. Name <br /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> Structure operation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage EIVED BY INSPEC OR <br /> ❑ El Time/Method 7 � <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />