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ah4ul" SAN JOAQUIN COUNTY <br />r tJ ENVIRONMENTAL HEALTH DEPARTMENT <br />+`. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />4•.., , :� • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY:,' —� INSPECTION DATE: I <br />PREMISE ADDRESS: CITY: ZIP CODE: ( c_+ <br />OWNER/OPERATOR: �­ TELEPHONE: C7 3_5-/ <br />�'-'q'j, <br />PROGRAM ELEMENT: /_/ PRO RAM �� RECORD: A NSPECTION TYPE: P L RE1114SSPPECT BY: Lk) <br />kJ��((�� <br />V <br />RV <br />a <br />Code <br />Section <br />Pumper Trucks/Yards <br />The items below present health code violations and must be corrected: <br />(,� <br />1. (� <br />1 <br />SJC 9-1110.8; <br />HSC 117405 <br />VALID PERMIT/REGISTRATION <br />f <br />► L <br />1U �iC� I <br />2 <br />SJC 9-1110.8; <br />HSC 117435 <br />MONTHLY PUMPING REPORTS <br />1l <br />, v ,4 C y I �� " 3-5 <br />3 <br />SJLDR (5) <br />IDENTIFICATION OF VEHICLES: <br />a) 3 INCH: NAME, ADDRESS AND CAPACITY <br />b) 61NCH: REGISTRATION NUMBER <br />( gig g <br />-- _-_-- - -- <br />4 <br />HSC 11 <br />SJLDR 7420 7420 <br />TANK: <br />a) METAL CONSTRUCTION <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d) VALVE LOCATION <br />L) U;� <br />5 <br />HSC 117420 <br />SJLDR (9)(B) <br />PUMP: <br />NO LEAKAGE, SPILLAGE OR SPLASHING.! <br />4e /` 0 nfj1eG� %7 ��) r V`P� Vu ✓G( / <br />` 1 r 111 <br />6 <br />HSC 117420 <br />SJLDR (9)(C) <br />HOSES: <br />a) AVAILABLE AND ADEQUATE. <br />b) CLEAN AND WATERTIGHT. <br />\ <br />7 <br />HSC 117420; <br />SJLDR (9)(D) <br />METAL RACKS <br />8 <br />HSC 117420 <br />SJLDR (3) <br />YARD: <br />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 />DISPOSALSITE <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 />7 <br />OWDS 11.2 <br />VECTOR PROOF <br />8 <br />OWDS 11.3 <br />SURFACES SMOOTH/EASY TO CLEAN <br />9 <br />OWDS 11.1 <br />FLOOR AREA W/URINAL (10 SO. FT.) <br />OWDS 11.1 <br />FLOOR AREA W/OUT, URINAL (B SO. FT.) <br />10 <br />OWDS 11.1 <br />SUFFICIENT SPACE. <br />11 <br />OWDS 11.9 <br />LETTERING HEIGHT 31NCHES <br />RECEIVED BY: /f <br />i� <br />TITLE: /(�� <br />DATE: 7� I <br />REHS: �( <br />/`' <� <br />(,� <br />1. (� <br />!� <br />PHONE: 20 <; Sq <br />DATE: rI//�C/.• r <br />V = Violation; RV = Repeated Violation SEE REVERSE SIDS FOR ADDITIONAL INFORMATION PAGE:1 OF_ <br />EHD 42-020 PUMPER TRUCK OIR <br />4/24/12 <br />