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Qo�ul s SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�dZlgld yl;' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUMPER TRUICKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY: <br />s C <br />C INSPECTION DATE: . O <br />Cod <br />Seon <br />PREMISE ADDRESS: <br />CITY: ZIP CODE; ,. < <br />OWNER/OPERATOR: r � d <br />VTEL PHOy 'J x ,L v rQ <br />qVJ <br />PROGRAM ELEMENT: PROGRAM RECO D: <br />PECTI TYPE: f F�EINSP =CT BY:�l <br />V <br />RV <br /># <br />Cod <br />Seon <br />Pumper Trucks/Yards <br />The Items below present health code violations and must be corrected: <br />1 <br />SJC 9-1110.6; <br />HSC 117405 <br />VALID PERMIT/REGISTRATION <br />/ / s) <br />1; U 1. aA <br />2 <br />SJC 9.1110.8; <br />HSC 117435 <br />MONTHLY PUMPING REPORTS <br />a <br />L � <br />I �Vfi C -Y8 s D N 33) <br />3 <br />SJLDR (5) <br />IDENTIFICATION OF VEHICLES: <br />a) 31NCH: NAME, ADDRESS AND CAPACITY <br />b) 61NCH: REGISTRATION NUMBER <br />TANK: <br />a) METAL CONST RUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d) VALVE LOCATION <br />Z <br />4 <br />SSC 1 7420 <br />n ) <br />�v V ( o + <br />•_ <br />I <br />L %(_ „���333 +� / / <br />cp C C7 <br />5 <br />HSC 117420 <br />SJLDR (9)(B) <br />PUMP: <br />NO LEAKAGE, SPILLAGE OR SPLASHING. <br />V CCC]]] <br />V1HSC <br />6 <br />117420 <br />SJLDR (9)(C) <br />HOSES: <br />a) AVAILABLE AND ADEQUATE. <br />b) CLEAN AND WATERTIGHT. <br />' I <br />7 <br />HSC 117420; <br />SJLDR (9)(D) <br />METAL RACKS <br />6 <br />HSC 117420 <br />SJLDR (3) <br />YARD: <br />SANITARY AND ADEQUATE. <br />SU <br />1 <br />OWDS 11.5 <br />CHEMICAL TOILETS <br />TANK CAPACITY (40 GALLON MIN,) <br />2 <br />OWDS11.10 <br />STORAGE SITE <br />3 <br />OWDS 11.7 <br />DISPOSALSITE <br />4 <br />OWDS 11.6 <br />TYPE OF CHEMICALS <br />1 + pe—r-w 1 ((r <br />5 <br />OWDS 11.8 <br />UNSANITARY CONDITION <br />D / Z �-> J. <br />� �( <br />6 <br />OWDS 11.4 <br />DOORS SELF-CLOSING, LOCKABLE <br />� <br />7 <br />OWDS 11.2 <br />VECTOR PROOF <br />keada/ "//%" L',44 n <br />C �+ <br />8 <br />OWDS 11.3 <br />SURFACES SMOOTWEASY TO CLEAN <br />9 <br />OWDS 11.1 <br />FLOOH AREA W/URINAL (W SQ. FT.) <br />OWDS 1 1.1 <br />FLOOR AREA W/OUT URINAL (B so. FT.)!!I <br />V 1r (� uI <br />10 <br />OWDS 11 .1 <br />SUFFICIENT SPACE. <br />} <br />11 <br />OWDS 11.9 <br />LETTERING HEIGHT 3 INCHES <br />RECEIVED BY: 6�s <br />TITLE: �V [!�Y DATE: <br />RENS: <br />PHONE:z,,5 g , o ATE: <br />r <br />c ti <br />V = Violallon; RV /ROpeatedVlolation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE: 1 OF_ <br />EHD 42-020 PUMPER TRUCK OIR <br />4/24/12 <br />