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P6 UN" <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />hit 1868 E Hazelton Ave, Stockton, CA 95205 <br />c P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />0 <br />PUMPER TRUCKSIYARDS & CHEMICAL TOILETS <br />OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY: <br />C <br />AAA! <br />INSPECTION DATE: 1' <br />Code Section <br />e <br />z <br />PREMISE ADDRESS: <br />2 �0 n L- <br />CITY: /� ZIP CODE: <br />fT <br />OWNER / OPERATOR: <br />' / J •� <br />, <br />TELEPHONE: <br />C� : `C <br />V (^ , <br />q <br />Of <br />PROGRAM ELEMENT: <br />`• PROGRAM RECORD: <br />gy' pg INSPECTION TYPE: /' REINSPECT BY: <br />DEV 9-1110.8; <br />MONTHLY PUMPING REPORTS <br />JAI <br />V <br />v <br /># <br />Code Section <br />Pumper Trucks / Yards <br />DATE: f r2 n' <br />1 <br />DEV 9-1110.8; <br />VALID PERMIT / REGISTRATION <br />Aants nsl <br />C� : `C <br />HSC 117405 <br />q <br />Of <br />vty4)yl�; <br />2 <br />DEV 9-1110.8; <br />MONTHLY PUMPING REPORTS <br />JAI <br />A << k <br />HSC 117435 <br />l <br />CaRN <br />IDENTIFICATION OF VEHICLES: <br />3 <br />CSDS (5) <br />a) 3": NAME, ADDRESS AND <br />CAPACITY <br />Ud.9 ue <br />r^F-4 (x- <br />i '1M <br />rr� Aft a �^ <br />b) 6": REGISTRATION NUMBER <br />TANK: <br />a) METAL CONSTRUCTION VI <br />4 <br />HSC 117420 <br />b) LEAKPROOF VALVES Y' <br />CSDS (9)(A) <br />C) MANUAL VALVES <br />d) VALVE LOCATION <br />5 <br />HSC 117420 <br />PUMP. <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 />8 <br />CSDS (3) <br />a) SANITARY AND ADEQUATE. <br />CHEMICAL TOILETS <br />I <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 />a <br />1n �' <br />TITLE: <br />C <br />INSPECTED BY:` i <br />PHONE: � <br />DATE: f r2 n' <br />, %,rjc , <br />Aants nsl <br />C� : `C <br />q <br />Of <br />vty4)yl�; <br />I i <br />\ /Zo 9. <br />JAI <br />A << k <br />l <br />CaRN <br />Cann <br />Ud.9 ue <br />r^F-4 (x- <br />i '1M <br />rr� Aft a �^ <br />f!h <br />RECEIVED BY: Pi Sw--�` - 1 <br />TITLE: <br />DATE: <br />INSPECTED BY:` i <br />PHONE: � <br />DATE: f r2 n' <br />V=Violation; RV = Repeated Violation <br />SEE REVISE SIDE FOR ADDITIONAL INFORMATION <br />PAGE: 1 OF_ <br />Revised on 1/13/2022 P:\scanned\Unit 2\Francisco\Form - Pumper Trucks Official Inspection Report - tINAL.doc <br />