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SANA0AQUIN <br />$& <br />Ti <br />`' `—COUNTY <br />a�,Foaa Greatness grows here. <br />PUMPER TRUCKSNARDS & CHEMICAL <br />Environmental Health Department <br />TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY:INSPECTION <br />��� htJ �� , �� <br />DATE: <br />G�,�- • les j z/ /�z <br />PREMISE ADDRESS: / / C �j ,r �1, <br />((�Y�l L 1' <br />CITY: ( tor Q,M ZIP CODE: <br />OWNER/OPERATOR: <br />' TEL/EIP.HONE:: <br />PROGRAM ELEMENT: PROGRAM RECORD. <br />, [ I SPECTION TYPE: 1I,h EINSPECT 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/REGISTRATIONN <br />Tf <br />/D, y^ S �y ✓+�/ <br />V l /� ` 1 C5 3 f J <br />2 <br />SJC 9-1110.8; <br />HSC 117435 <br />MONTHLY PUMPING REPORTS <br />SJLDR (5) <br />IDENTIFICATION OF VEHICLES: <br />a) 3 INCH: NAME, ADDRESS AND CAPACITY <br />b) 6 INCH: REGISTRATION NUMBER <br />\SLC117420 <br />(9)(A) <br />TANK: <br />a) METAL CONSTRUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />(1 VALVE LOCATION <br />ot <br />Cor4 <br />VR <br />5 <br />HSC 17420 <br />SJLD 9)(B) <br />PUMP: <br />NO LEAKAGE, SPILLAGE OR SPLASHING. <br />6 <br />HSC 11 20 <br />SJLDR (9) ) <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 />8 <br />HSC 117420 <br />SJLDR (3) <br />YARD: <br />ANITARY AND ADEQUATE. <br />EMICAL TOILETS <br />1 <br />OWDS 11.5 <br />TA CAPACITY (4 GALLON MIN.) <br />2 <br />OWDS 11.10 <br />STOR GE SITE <br />3 <br />OWDS 11.7 <br />DISPOS SITE <br />4 <br />OWDS 11.6 <br />TYPE OF EMICALS <br />5 <br />OWDS 11.8 <br />LINSANITARYIVNDITION <br />6 <br />OWDS 11.4 <br />DOORS SELF- OSING, LOCKABLE <br />VECTOR PROOF <br />SURFACES SMOOTH/1S Y TO CLEAN <br />FLOOR AREA W/URINAL o SQ. FT.) <br />FLOOR AREA W/OUT URINA NSO. I <br />SUFFICIENT SPACE. <br />LETTERING HEIGHT 3INCHES <br />TITLE: DATE: _ "� <br />CZ <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 />t <br />11 <br />BY: <br />OWDS 11.9 <br />`�� l/ <br />` <br />PHONE: ZG� Si ,� �CJ' <br />DATE: I �/ <br />V = Violation; RV = Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION <br />EHD 42-020 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 <br />PAGE: 1 OF <br />www.sjcehd.com <br />