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x SAN JOAQUIN COUNTY <br /> EN ,f � ONMENTAL HEALTH DEPARTMEt T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page(Of r <br /> DBA INSPECTOND TE <br /> SOLID WASTE❑ INFECTIOUS WASTE tj ✓C— )0/-7/1 <br /> structure Operation VEHICLES/EQUIPMENT FACILITY ADDRESS 61 REINSPECTION DATE <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR . P ONE ®� <br /> 2. Solid Waste Permit a t 7 <br /> ❑ ❑ INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit Pe <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: ® ^' <br /> El El 4" <br /> Name: <br /> 4"Height x 1"Width , <br /> E] ❑ B. ID Number: <br /> 4"Height x 1"Width <br /> ❑ ❑ C. Lettering both sides ` s7 <br /> ❑ ❑ 5. Cleaning <br /> U.3 11 <br /> ❑ 6. Maintenance '7 1 <br /> ❑ ❑ 7. Tail Gate Seal a &' <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps �--- <br /> ❑ 10. Broom/Shovel J� /A0'7 <br /> ❑ 11. Roll Off Covers r <br /> ❑ ❑ 12. Leakage or Spillage ® 9 r �. <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 REC BY INSPECTOR <br /> ❑ ❑ Time/Method �� <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />