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Maul"' SAN JOAQUIN COUNTY <br />t ENVIRONMENTAL HEALTH DEPARTMENT <br />j 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />.. ;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4Cik_d'u�f <br />PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY: S C ( <br />J <br />INSPECTION DATE: <br />PREMISE ADDRESS: O •7 <br />q4� CITY: / ZIP UODE: <br />OWNER/OPERATOR: ! ; <br />�^L <br />o c TELEPHONE: <br />I L C� <br />PROGRAM ELEMENT: PROGRAM RECO <br />1 <br />SPECTIONTYPE: P R INSPECT BY: <br />L I I f 4 <br />V <br />RV <br /># <br />Code <br />SectionThe <br />ks/Yards <br />PumpI <br />items below present health code violations and must be corrected: <br />1 <br />SJC 9-11 10.8; <br />HSC 117405 <br />VALID PERMIT/RTION <br />U <br />� I <br />2 <br />SJC 9-1110.8; <br />HSC 117435 <br />MONTHLY PUMPORTSPAW) <br />i <br />3 <br />SJLDR (5) <br />IDENTIFICATION ICLES: <br />a) 3 INCH: NAMSS AND CAPACITY <br />b) 61NCH: REGIN NUMBER <br />4 <br />HSC 117420 <br />SJLDR (9)(A) <br />TANK: <br />a) METAL CONSN <br />b) LEAK PROOF C) MANUAL VALd) VALVE LOCA <br />�" S <br />V`t <br />5 <br />HSC 117420 <br />SJLDR (9)(B) <br />PUMP: <br />NO LEAKAGE, SPILLAGE OR SPLASHING. <br />Vl YY� <br />6 <br />HSC 117420 <br />SJLDR (9)(C) <br />HOSES: <br />a) AVAILABLE AND ADEQUATE. <br />b) CLEAN AND WATERTIGHT. <br />il^ <br />7 <br />HSC 117420; <br />SJLDR (9)(D) <br />METAL RACKS <br />s �- <br />( 1 <br />6 <br />HSC 117420 <br />SJLDR (3) <br />YARD: <br />SANITARY AND ADEQUATE. <br />CHEMICALTOILETS <br />V <br />1 <br />OWDS 11.5 <br />TANK CAPACITY (40 GALLON MIN.) <br />I 0 L ,("O �✓ <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 />Y <br />S - <br />5 <br />OWDS 11.8 <br />UNSANITARY CONDITION <br />I <br />6 <br />OWDS 11.4 <br />DOORS SELF-CLOSING, LOCKABLE <br />� n <br />1� <br />7 <br />OWDS 11.2 <br />VECTOR PROOF <br />6 <br />OWDS 11.3 <br />SURFACES SMOOTWEASY TO CLEAN <br />' L/ O <br />9 <br />OWDS 11.1 <br />FLOOR AREA W/URINAL (10 so. FT.) <br />OWDS 11.1 <br />FLOOR AREA W/OUT URINAL (8 SO. FT.)r <br />�,j2 ryd i �, ,[2 <br />10 <br />OWDS 11.1 <br />SUFFICIENT SPACE. <br />11 <br />OWDS 11.9 <br />LETTERING HEIGHT 31NCHES <br />RECEIVED BY: 1 <br />, <br />TITLE:r A i n n DATE: % J// cis f <br />Vv 'l, I <br />RENS: � <br />� <br />PHONEY y - DATE: n <br />�o`,- co2_I <br />/ <br />V = Violatio , RV = ep ted illation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE: 1 OF <br />EHD 42-020 PUMPER TRUCK OIR <br />4/24/12 <br />Jw� <br />