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SAN JOAQUIN COUNTY <br /> 2 r ENVIRONMENTAL HEALTH DEPARTMENT <br /> •2 <br /> 600 East Main Street, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> F'oRc'�P <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: L /2� SC (-Lc. INSPECTION DATE: Ze�y <br /> PREMISE ADDRESS: f 4 0C,14 76rd � CITY: �d�� ZIP CODE:4sZ <br /> �P b <br /> OWNER/OPERATOR: 11A 17-e- TELEPHONE: <br /> PROGRAM ELEMENT- Lr <br /> PROGRAM RECORD: ] INSPECTION TYPE: o .� REINSPECT BY: <br /> V # Code Section Pumaer Trucks/Yards kG LA- 'a <br /> i DEV 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 <br /> 2 DEv 9-1110.8; MONTHLY PUMPING REPORTS �N 1>'t:> <br /> HSC 117435 / <br /> IDENTIFICATION OF VEHICLES: r1 p4e <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND 16+r <br /> CAPACITY <br /> b)6":REGISTRATIONNUMBER ��LlC 3a <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION r5O 54th KS Al` w a- T*- <br /> 4 b LEAK PROOF VALVES <br /> CSDS(9)(A) c)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 Pump: o-ws <br /> 5 CSDS(9)(B) FREE HI LEAKAGE,SPILLAGE OR L�� <br /> SPLASHING. <br /> HSCHOSES: <br /> 6 CSDS 17420 a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; RACKS ARE MADE OF METAL \ <br /> CSDS(9)(D) P.-0 NCG&- <br /> 8 HSC 117420 YARD: -6-v D 41S Ileg L4 <br /> CSDS(3) a)SANITARY AND ADEQUATE. <br /> CHEMICAL Tomos <br /> I OWDS 11.5 TANK CAPACITY(40 GALL IN.) O K { �� 6 •tr t(�Q . <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL S <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSE,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASILY CLEAN <br /> 9 OWDS 11.1 FLOOR W/URINAL 10 SQ.FT. <br /> OWDS 11.1 FLOOR W/OUT URINAL 8 SQ.FT. <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3" <br /> RECEIVED BY: gler- <br /> TITLE: , DATE: 12 f <br /> REHS: A'A-5 &re- r�-4Tt 1 ./�M 6"*� L <br /> PHONE: •Y o�_(� I(p- s�6 I DATE: 12-b�- Z q <br /> V=Violation;RV=Repeated Violation V`�' SEE REVISE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF_ <br /> Revised on 12/13/2024 P:\FORMS DIRECTORY\UNIT 2\LIQUID WASTE PROGRAM\OLD FORMS\Form-Pumper Trucks Off <br />