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SAN JOAQUIN COUNTY <br /> z ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 <br /> c. P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: i 1h1 L INSPECTION DATE: ' <br /> PREMISE ADDRESS: �, r,^ �D CITY: ZIP CODE: <br /> OWNER/OPERATOR: T is�Jn�C. TELEPHONE: <br /> W <br /> PROGRAM ELEMENT: J% PROGRAM,RECORD- P�S I R 2 00 T*.SPECTION TYPE: ? u REINSPECT BY: <br /> V V # Code Section Pumoer Trucks/Yards Q� <br /> 1 DEv 9-1110.8; VALID PERMIT/REGISTRATION p1 ��/ <br /> HSC 117405 <br /> 2 DEV9-1110.8; MONTHLY PUMPING REPORTS "a <br /> HSC 117435 1 ^ _ w <br /> IDENTIFICATION OF VEHICLES: gea (r 1. <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND <br /> CAPACITY <br /> b)6":REGISTRATION NUMBER 1 <br /> TANK: <br /> a)METAL CONSTRUCTION 100 M1, <br /> ` <br /> 4 HSC 117420 b)LEAK PROOF VALVES <br /> CSDS(9)(A) C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 PUMP: <br /> 5 CSDS(9)(B) FREE OF LEAKAGE,SPILLAGE OR <br /> SPLASHING. <br /> HSC 117420 HOSES: <br /> 6 CSDS(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; RACKS ARE MADE OF METAL <br /> CSDS(9)(D) <br /> 8 HSC 117420 YARD: <br /> CSDS(3) a)SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN) <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSE,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASILY CLEAN <br /> 9 OWDS 11.1 FLOOR W/URINAL 10 SQ.FT. <br /> OWDS 11.1 FLOOR W/OUT URINAL 8 SQ.FT. <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3" <br /> RECEIVED B TITLE: DATE: <br /> RENS: PHONE: 21 DATE: / z <br /> V=Violation;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONAL INFORMATION S PAGE:1 OF_ <br /> Revised on 12/5/2023 P:\Unit II\Liquid Waste\Form-Pumper Trucks Official Inspection Report-ffNAL.doc <br />