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S A N P10 A Q U I N <br />o <br />COUNTY <br />cgCfFoa`P Greatness grows here. <br />PUMPER TRUCKSNARDS & CHEMICAL <br />Environmental Health Department <br />TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY: _ , <br />INSPECTION DATE: <br />PREMISE ADDRESS: 2 NS n k ��r <br />CITY: S� f/.,`� ZIP CODE: <br />OWNER/OPERATOR: �(, . <br />)NIA-65 <br />O /� TELEPHONE: U (� _ J <br />/ b <br />PROGRAM ELEMENT: �� J PROGRAM REC RD: �. <br />t SPECTION TYPE: --PC REINSPECT BY:-99— <br />�'LLi'�`L <br />V = Violadon; RV = Repeated Violation " SEE REVERSE SIDE FOR ADDITIONAL INFORMATION <br />EHD 42-020 <br />PAGE: 1 OF <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />Code <br />Section <br />Pumper TrucksNards <br />The items below present health code violations and must be corrected: <br />F7- <br />H0117405VALID <br />PERMIT/REGISTRATION2SJC <br />P V/VJ- / <br />2\ <br />9-1110.8; <br />HSC 117435 <br />MONTHLY PUMPING REPORTS <br />22 <br />3 <br />$ DR (5) <br />IDENTIFICATION OF VEHICLES: <br />a) 3 INCH: NAME, ADDRESS AND CAPACITY <br />b) 6INCH: REGISTRATION NUMBER <br />V ' (O J{ <br />4 <br />HSC 11 20 <br />SJLDR (9)( <br />TANK: <br />a) METAL CONSTRUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d VALVE LOCATION <br />^ �.., <br />C C y �, f o%� <br />�! <br />T <br />I ' T� 6 <br />5 <br />HSC 117420 <br />SJLDR (9)(B) <br />,PUMP: <br />'No LEAKAGE, SPILLAGE OR SPLASHING. <br />6 <br />HSC 117420 <br />SJLDR (9)(C) <br />HOSES: <br />a) AVAILABLE AND ADEQUATE. <br />b) CLEAN AND WATERTIGHT. <br />7 <br />HSC 117420; <br />SJLDR (9)(D) <br />METAL cKS <br />8 <br />HSC 117420 <br />SJLDR (3) <br />YARD: <br />SANITARY AND DEOUATE. <br />CHEMICAL TOIL <br />1 <br />OWDS 11.5 <br />TANK CAPACITY (4 GALLON MIN.) <br />2 <br />OWDS 11.10 <br />STORAGE SITE <br />3 <br />OWDS 11.7 <br />DISPOSAL SITE <br />4 <br />OWDS 11.6 <br />TYPE OF CHEMICALS <br />5 <br />OWDS 11.8 <br />UNSANITARY CONDITION <br />6 <br />OWDS 11.4 <br />DOORS SELF-CLOSING, LOCKA E <br />VECTOR PROOF <br />SURFACES SMOOTH/EASY TO CLEAN <br />FLOOR AREA W/URINAL (10 SO. FT.) <br />FLOOR AREA W/OUT URINAL (8 SO, Fr.) <br />SUFFICIENT SPACE. <br />LETTERING HEIGHT 3INCHES <br />TITLE: -. DATE: <br />7 <br />OWDS 11.2 <br />8 <br />OWDS 11.3 <br />9 <br />OWDS 11.1 <br />OWDS 11.1 <br />10 <br />OWDS 11.1 <br />11 <br />OWDS 11.9 <br />RECEIVED <br />BY: <br />2 <br />RENS:. I ' <br />l/(, r <br />PHONE: Z G� C- <br />J — <br />DATE: <br />1 <br />V = Violadon; RV = Repeated Violation " SEE REVERSE SIDE FOR ADDITIONAL INFORMATION <br />EHD 42-020 <br />PAGE: 1 OF <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />