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p,CIUIN°maSANADAQUIN Environmental Health Department <br /> Q�; z <br /> " COUNTY <br /> c _P <br /> glrFoa�� Greatness grows here. <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: W6 � food <br /> Vr7 <br /> 6w INSPECTION DATE: <br /> PREMISE ADDRESS: WI MAM y d CITY: Lay ZIP CODE: <br /> OWNER/OPERATOR:�vn ��ed `TELEPHONE: �- _wlo°t <br /> PROGRAM ELEMENT:: f� PROGRAM RECORD: %554t\�\ INSPECTION TYPE: t7n u,hp REINSPECT BY: _ <br /> V RV # Code 1 PumperTrucks/Yards `( The items below present health code violations and must be corrected: <br /> Section /J <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> 3 SJLDR(5) IDENTIFICATION OF VEHICLES: / <br /> a)3 INCH:NAME,ADDRESS AND CAPACITY <br /> b)61NCH:REGISTRATION NUMBER <br /> -'" 6.1110 <br /> IO <br /> TANK: <br /> HSC 117420 1 / _rz ,C.1 r <br /> '4 8)METAL CONSTRUCTION J l� OdIA ! i �+l)sl•�.i <br /> SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES �• <br /> d VALVE LOCATION h <br /> �f <br /> 5 HSC 117420 PUMP: 1 <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. � !� <br /> 6 HSC 117420 HOSES: <br /> SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <br /> 6 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS //��//� /� <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) O NMI 1t 20 ai-e PLr, <br /> 2 OWDS 11.10 STORAGE SITE yud I fibn V <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS v v <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE ( N <br /> 7 OWDS 11.2 VECTOR PROOF r U o <br /> Oea8 OWDS 11.3 SURFACES SMOOTH/EASYTo CLEAN ehw�('�� a/�� V �Cc� D <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SQ.FT.) I h e J-3li V.\pc t/ m w 11 d t ) a <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SQ.FT.) M V�,i�-' an LA cinae, <br /> 10 OWDS 11.1 SUFFICIENT SPACE. oa-( `J <br /> 11 OWDS 11.9 LETTE G HEIGHT 3 INCHES d S <br /> RECEIVED B)�: TITLE: DATE: <br /> REHS: �}, ►tennwo�/ � DATE- <br /> , PHONE: <br /> C,7► -a�c�8 � <br /> V=Violation;RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> E H D 42-020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />