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U'"cGti SAN.PJOAQUIN <br />�o <br />N <br />COUNTY <br />f`P : <br />9CrFoa Greatness grows here. <br />PUMPER TRUCKSNARDS & CHEMICAL <br />Environmental Health Department <br />TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY:m 4JF t <br />l 1 "n <br />INSPECTION DATE: I Z <br />PREMISE ADDRESS:V <br />+ i - 1& <br />`•j ilk1 <br />CITY: ZIP CODE: <br />OWNER/OPERATOR: .� <br />TELEPHONE: P/) <br />Qrf le— <br />PROGRAM ELEMENT: -PROGRAM RECORD: <br />O rgg�0 INSPECTION TYPE: "(%4� REINSPECT BY: <br />V <br />R <br /># <br />Code <br />Section <br />Pumper Trucks/Yards <br />The items below present health code violations and must be corrected: <br />SSC 9-1 0.8 <br />HSC 117405 ; <br />VALID PERMIT/REGISTRATION <br />1 y O 2 iy <br />q <br />2SJC <br />9-1110.8; <br />SC 117435 <br />MONTHLY PUMPING REPORTS <br />3 <br />SJLt)R (5) <br />IDENTIFICATION OF VEHICLES: <br />a) 3 INCH: NAME, ADDRESS AND CAPACITY <br />b) 6INCH: REGISTRATION NUMBER. <br />/v <br />/L) V 41/1� <br />4 <br />HSC 11720 <br />- <br />SJLDR (9)(Ak <br />1 <br />TANK: <br />a) METAL CONSTRUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d VALVE LOCATION <br />C �„ n � ti <br />;n y� <br />1 <br />5 <br />HSC 117420 <br />SJLDR (9)(B) <br />� PUMP: <br />N` o LEAKAGE, SPILLAGE OR SPLASHING. <br />6 <br />HSC 117420 <br />SJLDR (9)(C) <br />HkSES: <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 />SANITARY AND ADEQUATE. <br />CHEMICAL T LETS <br />1 <br />OWDS 11.5 <br />TANK CAPACI (40GALLON 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 CiONDIT[! <br />6 <br />OWDS 11.4 <br />DOORS SELF-CLOSING, L CKABLE <br />VECTOR PROOF <br />SURFACES SMOOTH/EASYTO EAN <br />FLOOR AREA W/URINAL (10 SO. FT. <br />FLOOR AREA W/OUT URINAL (8 SQ. <br />SUFFICIENT SPACE. <br />LETTERING HEIGHT 3INCHES <br />TITLE: ' r ✓'J 01 r DATE: <br />`� <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 />/ <br />REHS:(/ <br />, �C <br />71, <br />PHONE: <br />03)-5-3s�/c, <br />DATE: *) <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 />