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oP V!!y' SAN JOAQUIN COUNTY <br />).+� •.OG <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />N { 600 East Main Street, Stockton, CA 95202-2708 <br />c,;71rP Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br />OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY: _(\ 'S <br />INSPECTION DATE: ' ` —s <br />PREMISE ADDRESS: � -1 Z. ,�}�, `) 1 (10 . <br />1, _ 1 <br />CITY: SCO 06 To C) ZIP CODE: 5 Z -IS <br />OWNER / OPERATOR: <br />(' q' q 07 TELEPHONE: <br />PROGRAM ELEMENT: kA V'-kPROGRAM RECORD: %SPECTION <br />TYPE: Yom' �� ,REINSPECT BY: P/' / <br />V <br />V <br /># <br />Code Section <br />Pumper Trucks / Yards <br />Ire; <br />I <br />DEv 9-1110.8; <br />VALID PERMIT / REGISTRATION <br />Mugu <br />-4b <br />HSC 117405 <br />2 <br />DEv 9-1110.8; <br />MONTHLY PUMPING REPORTS <br />HSC 117435 <br />IDENTIFICATION OF VEHICLES: <br />SC` C_Yr�o� WPcSt'� <br />w <br />3 <br />CSDS (5) <br />a) 3": NAME, ADDRESS AND <br />CAPACITY <br />b) 6": REGISTRATION NUMBER <br />TANK: <br />HSC 117420 <br />a) METAL CONSTRUCTION <br />4 <br />CSDS (9)(A) <br />b) LEAK PROOF VALVES <br />MANUAL VALVES <br />d) VALVE LOCATION <br />5 <br />HSC 117420 <br />PUhV: <br />FREE OF LEAKAGE, SPILLAGE OR <br />CSDS (9)(B) <br />SPLASHING. <br />HSC 117420 <br />HOSES: <br />6 <br />CSDS(9)(C) <br />a) AVAILABLE AND ADEQUATE. <br />b) CLEAN AND WATERTIGHT. <br />7 <br />HSC 117420; <br />RACKS ARE MADE OF METAL <br />CSDS (9)(D) <br />HSC 117420 <br />YARD: <br />s <br />CSDS (3) <br />a) SANITARY AND ADEQUATE. <br />CHEMICAL TOILETS <br />1 <br />OWDS 11.5 <br />TANK CAPACITY (40 GALLON 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 CONDITION <br />6 <br />OWDS 11.4 <br />DOORS SELF -CLOSE, LOCKABLE <br />7 <br />OWDS 11.2 <br />VECTOR PROOF <br />8 <br />OWDS 11.3 <br />SURFACES SMOOTH/EASILY CLEAN <br />9 <br />OWDS 11.1 <br />FLOOR W/URINAL 10 SQ. FT. <br />OWDS 11.1 <br />FLOOR W/OUT URINAL 8 SQ. FT. <br />10 <br />OWDS 11.1 <br />SUFFICIENT SPACE. <br />11 <br />OWDS 11.9 <br />LETTERING HEIGHT 3 " <br />V=Violation; RV = Repeated Violation <br />SEE REVISE SIDE FOR ADDITIONAL INFORMATION <br />PAGE: 1 OF <br />Revised on 11/22/2021 U:\Unit-II\Liquid Waste\Form - Pumper Trucks Official Inspection Report - f1NAL.doc <br />Ire; <br />Mugu <br />-4b <br />4-1 <br />C. <br />SC` C_Yr�o� WPcSt'� <br />w <br />V=Violation; RV = Repeated Violation <br />SEE REVISE SIDE FOR ADDITIONAL INFORMATION <br />PAGE: 1 OF <br />Revised on 11/22/2021 U:\Unit-II\Liquid Waste\Form - Pumper Trucks Official Inspection Report - f1NAL.doc <br />Ire; <br />Mugu <br />-4b <br />V=Violation; RV = Repeated Violation <br />SEE REVISE SIDE FOR ADDITIONAL INFORMATION <br />PAGE: 1 OF <br />Revised on 11/22/2021 U:\Unit-II\Liquid Waste\Form - Pumper Trucks Official Inspection Report - f1NAL.doc <br />