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"cG SA6JOAQUIN <br />o <br />"` ``I COUNTY <br />cgt_69f6 `P Greatness grows here. <br />PUMPER TRUCKSNARDS & CHEMICAL <br />Environmental Health Department <br />TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY: Lam. c,1 / �f INSPECTION DATE: <br />PREMISE ADDRESS: 22 �>hAr I CITY::' -f 0- C(f-0e) j ZIP CODE: <br />OWNER/OPERATOR: = ^- TO tw,. /� 1<.-2 vTELEPHONE:� jj <br />/ <br />PROGRAM ELEMENT: 1 PROGRAM RECORD:"C)S � �I,y`P�EJCTION TYPE;-- Y/ -h,�, REINSPECT BY: <br />7 I <br />V <br />RV <br /># <br />Code <br />Section <br />Pumper Trucks/Yards <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 />VV 3 J V J <br />2 <br />SJC 9-1110.8; <br />HSC 117435 <br />MONTHLY PUMPING REPORTS <br />�AA <br />SJLDR (5) <br />IDENTIFICATION OF VEHICLES: <br />a) 3 INCH: NAME, ADDRESS AND CAPACITY <br />b) 6 INCH: REGISTRATION NUMBER <br />4 <br />HSC 117420 <br />LDR (9)(A) <br />TANK: <br />a) METAL CONSTRUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d VALVE LOCATION <br />�l n r1 icd V <br />5 <br />HSC 17420 <br />SJLDR )(B) <br />Pump: <br />NO LEAKAGE, SPILLAGE OR SPLASHING. <br />6 <br />HSC 117 0 <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 />S NITARY AND ADEQUATE. <br />CH ICAL TOILETS <br />1 <br />OWDS 11.5 <br />TANK AP CITY (40 GALLON MIN.) <br />2 <br />OWDS 11.10 <br />STORA SITE <br />3 <br />OWDS 11.7 <br />DISPOSAL ITE <br />4 <br />OWDS 11.6 <br />TYPE OF CHIIICALS <br />5 <br />OWDS 11.8 <br />UNSANITARY COICION <br />6 <br />OWDS 11.4 <br />DOORS SELF -CLO SI G, LOCKABLE <br />VECTOR PROOF <br />SURFACES SMOOTH/EASY CLEAN <br />FLOOR AREA W/URINAL (10 SON. I <br />FLOOR AREA W/OUT URINAL (8 SO. .) <br />SUFFICIENT SPACE. <br />LETTERING HEIGHT 3INCHES <br />TITLE: ^` ) r S r DATE: ` � r — <br />/ <br />Q-7-2-1 <br />Vqr <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 />RECEIVED <br />11 <br />BY: <br />OWDS 11.9 <br />1 <br />REHS: C�VL_J <br />PHONE: S S5 f . � / <br />17 <br />DAT E: <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 />