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Qa4ulN, s SAN JOAQUIN COUNTY <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 /> ttisi8 �` <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: ; N_ b r� Wp �j INSPECTION DATE: <br /> T -Sery z S tri f z 20 j <br /> PREMISE ADDRESS: 'l r ` CITY: ZIP CO <br /> DE: <br /> OWNE ROrM TELEPHONE: 66, K/�r <br /> PROGRAM ELEMENT: q�- - J PROGRAM RECORD' "^PECTION TYPE:434 p .'�REINSPECT BY: <br /> V RV # Code Pumper Trucks/Yards `� T <br /> Section The items belowresentt+health code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION V I A t5 P V I'{v J g T 51- L -5g Z;1-5— <br /> HSC 117405 (J <br /> 2 sic 9-1110.8; MONTHLY PUMPING REPORTS Ueh I L I42-*V- 1 <br /> HSC 117435 <br /> 3 � <br /> IDENTIFICATION OF VEHICLES: � <br /> 31 SJLDR(5) a)31NCH:NAME,ADDRESS AND CAPACITY I QD Q I/U <br /> b)61NCH:REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 SJLDR 7420 b)LEAK PROOF VALVES <br /> C)MANUAL VALVESva C;1 <br /> d)VALVE LOCATION /) ^� <br /> v C/ <br /> 5 HSC 117420 PUMP: I�� /' �//,��+ <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. /1//�/' "'""L�'� �M I (/ l <br /> HSC 117420 HOSES: <br /> 6 SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS <br /> 6 HSC 117420 YARD: (� <br /> SJLDR(3) SANITARY AND ADEQUATE. C <br /> CHEMICALTOILETS o^ SS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) / U�C)^ <br /> 2 OWDS 11.10 STORAGE SITE ✓( CCC J <br /> 3 OWDS 11.7 DISPOSALSITE r- J C �p <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 (29 <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN/ <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FT.) V t <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(BSO.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 31NCHES <br /> RECEIVED BY: TITLE: f)`.r DATE: C C' /) / <br /> RENS: PHONE:®`?_Lt_L _o33� DATE: <br /> V=Violation;RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION ✓ l / �jPAGE:1 OF_ <br /> EHD 42-020 !'• ' ( PUMPER TRUCK OIR <br /> 4/24/12v 7 I <br />