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P.C1UIlV Q <br />S A N %J 0 A U IN Environmental Health Department <br />COU NTY--- <br />gCiFoa�` Greatness grows here. <br />PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY:INSPECTION DATE: / <br />`dor � <br />PREMISE ADDRESS: n J r C `,. ,� v Y �� CITY: ZIP CODE: <br />OWNER/OPERATOR: � / j 1 1 ��� -fi�r�b e TELEPHONE: 6 3Y _ <br />PROGRAM ELEMENT: `+ PROGRAM RECORD: (�OSyS V���IVSPECTIONTYPEN— •L41p.)fe REINSPECTBY: <br />V <br />V <br />RV <br />H <br />Code <br />Section <br />Pumper TrucksNards <br />_ <br />VALID PERMIT/REGISTRATION <br />The items below present health code violations and must be corrected: <br />1 <br />SJC 9-1110.8; <br />HSC 117405 <br />L l <br />1 <br />�^ <br />2 <br />SJC 9-1110.8; <br />HSC 117435 <br />MONTHLY PUMPING REPORTS <br />3 <br />SJLDR (5) <br />IDENTIFICATION OF VEHICLES: <br />a)3INCH: NAME, ADDRESS AND CAPACITY <br />b) 61NCH: REGISTRATION NUMBER <br />4 <br />HSC 117420 <br />SJLDR (9)(A) <br />TANK: <br />a) METAL CONSTRUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d VALVE LOCATION <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 />Hosts: ti <br />a) AVAILABLE ADEQUATE. <br />AND ATERTIGHT. <br />7 <br />HSC 117420; <br />SJLDR (9)(D) <br />ETAL'RACKS <br />8 <br />HSC 117420 <br />SJLDR (3) <br />T <br />QUATE. <br />CHEMICAL OILETS <br />1 <br />OWDS 11.5 <br />TANK CAPACITY (40 GALLON MIN.) <br />2 <br />OWDS, 11.10 <br />STORAGE SITE <br />3 <br />OW 1.7 <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, LOCKABLE <br />VECTOR PROOF <br />SURFACES SMOOTH/EASY TO CLEAN <br />FLOOR AREA W/URINAL (10 SQ. FT.) <br />FLOOR AREA W/OUT URINAL (B SQ. FT.) <br />SUFFICIENT SPACE. <br />LETTERING HEIGHT 31NCHES <br />DATE: <br />^-7 <br />TITLE: v ; l IJ or <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 />RENS: <br />PHONE: o — 9�L <br />DATE:Z,/0 <br />-711 <br />= Violation; RV = Repeated Violation SEE REVERSE SIDE f -OR 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 />