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°Pa�" SANsJOAQUIN <br />l ')-' COUNTY <br />gcrp�oa., Greatness grows here. <br />PUMPER TRUCKSNARDS & CHEMICAL <br />Environmental Health Department <br />TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY:( �y� G �,j—, INSPECTION DATE: <br />J • l 1 (..rj�,U (, l <br />PREMISE ADDRESS: <br />t7_ ji CITY: Q� f ��„� ZIP CODE: <br />OWNER/OPERATOR: % ('u TELEPHONE: / /1 }` ✓� -/1/ <br />Xq7(,� V 7 <br />PROGRAM ELEMENT: PROGRAM RECORD: �f NSPECTION/TYYPPEE: EIN{'S(P,E/CT BY: <br />V <br />RV <br /># <br />Code <br />Section <br />Pumper TrucksNards <br />The items below present health code violations and must be corrected: <br />1 <br />SJC 9-1110.8; <br />HSC 117405 <br />VALID PERMIT/REGISTRATION <br />3 <br />2 <br />SJC 9-1110.8; <br />HSC 117435 <br />MONTHLY PUMPING REPORTS <br />-- <br />IDENTIFICATION OF VEHICLES: <br />a) 3 INCH: NAME, ADDRESS AND CAPACITY <br />b) 6 INCH: REGISTRATION NUMBER <br />— <br />- <br />S fi�� wee f y i �n <br />SJLDR (5) <br />S ^, 40 <br />�+ ,u r} _ n -jP' V <br />i � $ ` C 1 � v � e � 1, yt' c <br />4 <br />SC 117420 <br />S DR (9)(A) <br />TANK: <br />a) METAL CONSTRUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d VALVE LOCATION <br />S <br />5 <br />20 <br />HSC\((IB) <br />SJLD <br />PUMP: <br />NO LEAKAGE, SPILLAGE OR SPLASHING. <br />6 <br />HSC 1174 0 <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 RACKS <br />6 <br />HSC 117420 <br />SJLDR (3) <br />YARD: <br />NITARY AND ADEQUATE. <br />C ICAL TOILETS <br />1 <br />OWDS 11.5 <br />TAN CAPACITY (40 GALLON MIN.) <br />2 <br />OWDS 11.10 <br />STOP E SITE <br />3 <br />OWDS 11.7 <br />DISPOSA SITE <br />4 <br />OWDS 11.6 <br />TYPE OF EMICALS <br />5 <br />OWDS 11.8 <br />UNSANITARY NNDITION <br />6 <br />OWDS 11.4 <br />DOORS SELF -CL SING, LOCKABLE <br />VECTOR PROOF <br />SURFACES SMOOTH/ TTO CLEAN <br />FLOOR AREA W/URINAL ( SQ. FT.) <br />FLOOR AREA W/OUT URINAL SQ. FT.) <br />SUFFICIENT SPACE. <br />LETTERING HEIGHT 3 INCHES <br />7 TITLE:�U /lQ� 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 />6 <br />REHS: J i t C n `.K <br />c <br />PHONE:CZU% J�V J '�-7 <br />DATE: <br />V = Violation; 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 />