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P'0.0 N SAN JOAQUIN COUNTY <br /> O.• • c <br /> .� ENVIRONMENTAL HEALTH DEPARTMENT <br /> w'. � :, 600 East Main Street, Stockton, CA 95202-2708 <br /> • c P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKSIYARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: - / AI / _ / / � INSPECTION DATE: , <br /> v� �r aµT�r�Pz (,Q Geh .+�lr <br /> PREMISE ADDRESS: cv&,5- / CITY: f ZIP CODE: /3 2 <br /> OWNER/OPERATOR: /. /� TELEPHONE: ,L' <br /> PROGRAM ELEMENT: i/ ! PROGRAM RECORD: / s y INSPECTION TYPE: U REINSPECT BY: <br /> V V # Code Section Pumper Trucks/Yards �z� �'��..�z>:►w <br /> 1 DEv 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 ,.I /) <br /> 2 DEV 9-1110.8; MONTHLY PUMPING REPORTS ^y,rm G?wR �� PJ6 0 Wt rQ <br /> HSC 117435 Z, <br /> IDENTIFICATION OF VEHICLES: LAC <br /> 3u� <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND <br /> CAPACITY <br /> b)6":REGISTRATION NUMBER 41 61tc j0__ TO <br /> TANK: J <br /> HSC 117420 a)METAL CONSTRUCTION /,.304. � <br /> 4 b)LEAK PROOF VALVES <br /> CSDS(9)(A) C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> PUMP:HSC 117420 cG-�* <br /> 5 CSDS(9)(B) FREE OF LEAKAGE,SPILLAGE OR <br /> SPLASHING. R� <br /> HSC 117420 HOSES: <br /> 6 CSDS(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; RACKS ARE MADE OF METAL <br /> CSDS(9)(D) <br /> 8 HSC 117420 YARD: <br /> CSDS(3) a)SANITARY AND ADEQUATE. y� <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) " <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <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 /> RECEI D I I TITLE: DATE: <br /> rt_3v 4 <br /> REHS: ONE: DATE: <br /> V=Violation;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> Revised on 12/13/2024 RTORMS DIRECTORY\UNIT 2\LIQUID WASTE PROGRAM\OLD FORMS\Form-Pumper Trucks Off <br />