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Pa�;N <br /> SAN.DJOAQUIN Environmental Health Department <br /> COUNTY <br /> �q4.. O <br /> F-...__�:P Greatness grows here. <br /> IFL <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: V ��� ( I _C- INSPECTION DATE:'� ! _�7 v <br /> PREMISE ADDRESS: L4 2 l j ��f l� I CITY: ` M^ O ZIP CODE: /��LZI� <br /> li- <br /> OWNER/OPERATOR: (�a PO e4M UJ <br /> TELEPHONE:Z J t� - _S6 9 _Su2; <br /> PROGRAM ELEMENT: '!�J R I i q PROGRAM RECORD- INSPECTION TYPE: REINSPE7CT BY: <br /> "� `I l ao d�✓�� N ,w p ' e <br /> V RV # Code Pumper TrucksNards The items below present health code violations and must be corrected: <br /> Section <br /> 1 HSC117405 VALID PERMIT/REGISTRATION <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 K J <br /> 3 SJLDR(5) IDENTIFICATION OF VEHICLES: ! - 0 0 K <br /> a)3 INCH:NAME,ADDRESS AND CAPACITY / Q(� <br /> b)6INCH:REGISTRATION NUMBER <br /> Iqtr ,p <br /> TANK: GD i'1Su 1' l.J` <br /> HSC 117420 <br /> 4 a)METAL CONSTRUCTION <br /> SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES tL J L � OA 0, <br /> HSC 117420 <br /> d t) �OWVALVE LOCATION J�� <br /> ✓ I\ <br /> 6 PUMP: <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. <br /> HSC 117420 HOSES: d- <br /> 8 a)AVAILABLE AND ADEQUATE. <br /> SJLDR(9)(C) b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <br /> 8 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. LA,10 <br /> "�_YVI• n1 `,1 <br /> CHEMICAL TOILETS J(J / Y <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) b r to <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE t l hVIO <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SQ.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SQ.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3INCHES <br /> RECEIVED BY:;-7 TITLE: DATE: <br /> RENS: ? PHONE:. / // -20 DAT � ` (I -7 i <br /> V=Violation; RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />