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SAN JOA UIN <br /> Q COUNTY PUBLIC HEALTH SERVICES <br /> I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 East Weber Avenue,Third Floor, Stockton,CA 95202 (209)468-3420 <br /> EMPLOYEE HOUSING INSPECTION NOTICE <br /> ID #39- <br /> i D Pre-occupancy Occupancy ❑ Complaint <br /> D Reinspection El Reinspection ❑ Number of Occupants <br /> I /p �^ ❑ Post occupancy 11Permitted Occupancy C� <br /> Location: �( (� a ea P Camp Telephone: <br /> Operator: _��r Z�p _a � / 7 �� 7 <br /> � .. Telephone: <br /> Address: 13G Idsaa tir. 9s-2_'o6 <br /> Owner: �?�r 5r lC', Telephone: <br /> Address: <br /> �T25_`Gills 26,i~altforria,Code f Re. lotion;CH&SC'=:Gaiifornia<Heal#h&Safet :Caide„7�4 7t#i� ^za4.Cal�ftsrn#a�ade;itiflfe ul�an <br /> ITEMS CIRCLED BELOW ARE VIOLATIONS <br /> 1. Camp lacks permit to operate for current calendar year.CH&SC 17030 <br /> 2. Bilingual Notice not posted in conspicuous place in camp. T25,624,625 <br /> 3. No responsible person assigned by operator to maintain the camp buildings and area.CH&SC 17038 <br /> 4. Name,address and telephone number of a responsible person to maintain labor camp not posted if not residing on premises. T26,637 <br /> 5. Application for a permit to operate not made at least 45 days prior to date of initial occupancy in current calendar year. T25,631 <br /> 6. Camp is in violation of the permitted occupancy requirements. T26,631 <br /> 7. Heater not installed in shower room. T25,655 <br /> S. Openable windows not provided with insect screening in habitable rooms. T25, 728 <br /> 9. Solid doors or screen doors not provided with self-closing device. T25,728 <br /> 10. Camp area not free of depression in which water can stand. T25, 700 <br /> 11. Domestic animals and poultry running at large in camp area. T25,702 <br /> 12. Buildings and grounds are not maintained in a clean and sanitary condition. T25, 704,710 , <br /> 13. Buildings and other housing are not identified with letters or numbers at least 3”high. T25,712 <br /> 14. Habitable rooms and sleeping areas lack sufficient window area and/or lack required openable area. T24, 1203 <br /> 15. Hallways,stairways,and exit ways(except in single family dwellings)lack adequate lighting. T24,1012.1 <br /> 16. Escape or rescue windows are of insufficient size or height. T24,310A <br /> 17. Rooms or areas for sleeping more than one person lacks 50 square feet of floor area for each occupant.T25, 724 <br /> 18. Bed frames are rusty,deteriorated or unsanitary. T26,732(a) <br /> 19. Bedding provided by camp operator is soiled,deteriorated or unsanitary. T25,732(b) <br /> 20. Kitchen and/or mess hall being used for sleeping purposes. T25, 734 <br /> 21. Kitchen and mess hall not maintained in a clean and sanitary condition.T25,736, 738,740 <br /> 22. Inadequate storage and removal of refuse and garbage. T25,742 <br /> 23. Lack of an approved Class B/C-fire extinguisher in mess hall kitchen. T26,744(a) <br /> 24. Lack of an approved Class A-type fire extinguisher for each 5,000 square feet of dormitory space.T25,744(b) <br /> 25. Articles or materials being maintained on premises creating a fire hazard.T26,746 <br /> 26. Plumbing system,fixtures,equipment,devices and safeguards not maintained in good working order or are inadequate.T25,756,768,760,762, <br /> 764,766, 768, 788, 790, 792 <br /> 27. Sewage disposal system failing.T25, 784, 786,792 <br /> 28. Water supply not fit for domestic use. T25, 770,772, 774 <br /> 29. Camp lacks adequate heating facilities. T25,800 r <br /> 38. Liquefied petroleum gas tanks lack foundation,improperly located,lack protective barriers,lack minimum clearance,lack"No Smoking"sign. <br /> T25,806,810,812 <br /> 31. Heating appliances lack proper vents,clearance or shut-off valve. T25,820,826,828,832 <br /> 32. Water heater lacks temperature-pressure relief valve,and/or improperly plumbed to outside of building. T25,834 <br /> 33. Water heater improperly located and/or lacks adequate combustion air. T25,836,838 <br /> 34, Electrical system improperly grounded,fused,or protected,or not maintained in a safe working order. T25,850,852,858,860,864,866,890,892 <br /> 35. Insufficient vertical clearance for electric wires above roofs(8%walkways and attachment point of buildings(101),and driveways(151).T25,862 <br /> 36. Lack of grounding of cord-connected equipment. T25,868,870 <br /> 37. Lack of approved light fixture in bathroom and toilet room. T25,874 <br /> 38. Lack of enclosed light fixture over bathtub or in shower compartment. T25,878 <br /> 39. Pull chain switch located in damp location or within reach of plumbing fixture,cook stove,range,furnace,or other grounded surface.T25,880, <br /> 884 <br /> 40. Improper use of extension cords. T26,894,896 <br /> 41. Exposed,nonmetallic sheeted cable not properly protected from physical or mechanical damage. T25,886 <br /> 42. Mobile home lacks State or Federal label or insignia. T25,904 <br /> ALL VIOLATIONS SHALL BE CORRECTED BY f <br /> (Date) <br /> 1S OWT1 Life <br /> Received by: Date:. Inspectio y: 1 <br /> ❑ Bilingual Notices Posted ❑ Unfit for Occupancy Notice Posted ❑ Issue Permit to Occupy ❑ Do Not Issue Permit <br /> iy persci'seryedIth a ngtta� tvlala# r*Vitas the rlghl arta stroll b �r�ntaearartg 6t3fc►ne#h Ilrcat hltr aitEta en+ fat . 'All <br /> lequtr5lsf�► hearthshap e s brrefWr�t#ert sta'0"0.10 dic ting tfte yrouttd [or silch.rcgrses preselttec(fb p San gaq tlbkCtrunt f+[iMtd <br /> Sees(=itiuirAnlrtntalttr[> ,' Yalth <br /> _ ... .3#14 E....... Ave,Third I cor,Stt CktClr t A <br /> EH 04 52 4/78 Rev.1/98 <br /> PHS 2S1 (3/98) <br />