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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> = E 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 /> DBA INSPECTION DATE <br /> SOLID WASTE❑ INFECTIOUS WASTE -7'7'R •i <br /> R&%10IElE-Z lot <br /> structure operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> • <br /> MAllk 01Z., ACI <br /> ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE EXT. f <br /> E] ❑ 2. Solid Waste Permit T c® a0 <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ 1:13. Infectious Waste Permit <br /> 0 1 F V G Z 01 <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: * <br /> 14. IN <br /> ❑ ❑ A Name: MD <br /> 4"Height x 1"Width 962 "1 01 <br /> ❑ <br /> El 4" <br /> ID Number: <br /> 4"Height x 1"Width L I _R 0 0 I< <br /> ❑ ❑ C. Lettering both sides 47 <br /> 3:549 764 RO OK <br /> ❑ ❑ 5. CleaningC®R�t1ZCr�D ON 3t1 <br /> 1 18 F SIB 044 Flo <br /> ❑ ❑ 6. Maintenance G 3 q,55 9,5ci goK <br /> ❑ ❑ 7. Tail Gate Seal If %T43q86 RO 17 K <br /> ❑ ❑18. Carry Tubes -1 K 1 - rr xplum ► /, <br /> ❑ ❑ 9. Ride Steps a <br /> ❑ ❑ 10. Broom/Shovel Ro 0 K <br /> ❑ ❑ 11. Roll Off Covers ` -Ro E PtR C <br /> ❑ ❑ 12. Leakage or Spillage 11 RD OK <br /> Structure operation C O N T A I N E R S 101 <br /> 749:9 0 h1l RD 0 K <br /> ❑ ❑ 13. Identification over 1 yd I 01a 74,98 I 0 K <br /> El79 1 L <br /> ❑ A. Name 1 ss V K <br /> ❑ ❑ 1 B. Telephone Number _I <br /> ❑ ❑ 14. Cleaning -59 7 CK <br /> ❑ ❑ 15. Maintenance '79 69 go el L 0 <br /> ❑ ❑ 16. Insects 6 77 cam? ()I <br /> Structure operation Y A R D S LSL 0 IC <br /> ❑ ❑ 17. Sanitation G 7OK <br /> ❑ ❑ 18. Parking L () <br /> ❑ ❑ 19. Wash Down Facilities L 5 0 <br /> 20.Hazardous Waste Storage RECEIVE INSPECTOR <br /> El ElTime/Method <br /> EHD 44-01 4/12/12 0SOLID WASTE OIR <br />