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<br /> o!OWN � SAN JOAQUIN COUNTY
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 East Hazelton Avenue, Stockton, CA 95205
<br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sggov.org/ehd
<br /> cgCtpoa��P EMPLOYEE HOUSING INSPECTION NOTICE q
<br /> ID 39- f(Permanent Year Round(>181 days) ❑ Seasonal(5180 days) ❑Temporary DATE: I / J / 23
<br /> PRE-OCCUPANCY []OCCUPANCY ❑COMPLAINT ❑NUMBER OF OCCUPANTS:
<br /> ❑ RE-INSPECTION ❑RE-INSPECTION ❑POST OCCUPANCY ❑PERMITTED OCCUPANCY:
<br /> LOCATION: ,9 .S ! 'm CITY: Z;,mt vn CAMP TELEPHONE:
<br /> OPERATOR NAME: Ann.,•G TELEPHONE: L Sc
<br /> OPERATOR ADDRESS: 3 n ' CITY: i t'In
<br /> OWNER NAME: u IVTCI00Q TELEPHONE:
<br /> OWNER ADDRESS: 3 � � , O�. CITY: i 1f. •e_A 1ST 7717- '✓Lj
<br /> CHSC-California Health&Safety Code; T25-Title 25,California Code of Regulations; T24 Title 24,California Code of Regulations
<br /> NOTICE OF VIOLATION -The items checked below are violations to be corrected:
<br /> ❑ 1. Camp lacks permit to operate for current calendar year. (CHSC 17030(a))
<br /> ❑ 2. Bilingual Notice not posted in conspicuous place in camp. (T25,a-624,b-625)
<br /> 3. No responsible person assigned by operator to maintain the camp building and area. (CHSC 17038)
<br /> ❑ 4. Name,address,and telephone number of a responsible person to maintain labor camp not posted if not residing on premises. (T25,627)
<br /> ❑ 5. Application for a permit to operate not made at least 45 days prior to date of initial occupancy in current calendar year.(T25,631)
<br /> ❑ 6. Camp is in violation of the permitted occupancy requirements. (T25,631)
<br /> ❑ 7. Heater not installed in shower room. (T25,655)
<br /> ❑ 8. Openable windows not provided with insect screening in habitable rooms. (T25,728a)
<br /> ❑ 9. Solid doors or screen doors not provided with self-closing device. (T25,728b)
<br /> ❑ 10. Camp area not free of depression in which water can stand. (T25,700)
<br /> ❑ 11. Domestic animals and poultry running at large in camp area. (T25,702)
<br /> 12. Building and grounds are not maintained in a clean and sanitary condition. (T25,a-704,b-710) n ( eit f(or ri✓o. a
<br /> ❑ 13. Building and other housing are not identified with letters or numbers at least 3"high. (T25,712) kfaf f in.) S
<br /> ❑ 14. Habitable rooms and sleeping areas lack sufficient window area and/or lack required openable area. (T24, 1203.4)
<br /> ❑ 15. Hallways,stairways,and exit ways(except in single family dwellings)lack adequate lighting. (T24, 1001)
<br /> 16. Escape or rescue windows are of insufficient size or height. (T24, 1018)
<br /> ❑ 17. Rooms or areas for sleeping more than one person lack 50 square feet of floor area for each occupant. (T25,724)
<br /> ❑ 18. Bed frames are rusty,deteriorated,or unsanitary. (T25,732(a))
<br /> ❑ 19. Bedding provided by camp operator is soiled,deteriorated,or unsanitary. (T25,732(b))
<br /> K ❑ 20. Kitchen and/or mess hall being used for sleeping purposes. (T25,734)
<br /> 21. Kitchen and mess hall not maintained in a clean and sanitary condition. (T25,a-736,b-738,c-740)
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<br /> ❑ 22. Inadequate storage and removal of refuse and garbage. (T25,742)
<br /> ❑ 23. Lack of/inadequate approved B/C-fire extinguisher in mess hall kitchen and/or Class A(every 5000 sq.ft.)in dormitory.(T25,a-744(a), b-744(b))
<br /> E ❑ 24. Lack of or inadequate smoke detectors. (CH&SC 13113.7)
<br /> ❑ 25. Articles or materials being maintained on premises creating a fire hazard. (T25,746)
<br /> 26 Plumbing system,fixtures,equipment,devices,and safeguards not gj'ntajned in g od rking order or are inadequate. (T25,a-756,b-758,
<br /> c-760,d-762,a-764,f-766, -768,h-788,i-790,'-792) DnV ✓0 IL,A
<br /> ❑ 27. Sewage disposal system failing. (T25,a-784,b-786,c-792)
<br /> ❑ 28. Water supply not fit for domestic use. (T25,a-770,b-772,c-774)
<br /> ❑ 29. Camp lacks adequate heating facilities. (T25,a-800,b-802)
<br /> ❑ 30. Liquefied petroleum gas tanks inadequate(lack foundation,improperly located,lack protective barriers, lack minimum clearance,lack"No
<br /> Smoking"sign). T25,a-806,b-808 c-810,d-812,a-814,f-816).
<br /> F-131. Appliances lack proper vent,clearance,or shut-off valve. (T25,a-818,b-820,c-822,d-824,a-826,f-828,g-830,h-832)
<br /> ❑ 32. Water heater lacks temperature-pressure relief valve,and/or improperly plumbed to outside of building. (T25,834)
<br /> ❑ 33. Water heater improperly located and/or lacks adequate combustion air. (T25,a-836,b-838)
<br /> ❑ 34. Electrical system improperly grounded,fused,or protected,or not maintained in a safe working order. (T25,a-850,b-852,c-854,d-858,a-860)
<br /> ❑ 35. Insufficient vertical clearance for electric wires above roofs(8'),walkways,attachment point of buildings(10'),and driveways.(T25,a-862,b-864)
<br /> ❑ 36. Lack of ground of cord-connecting equipment. (T25,a-866,b-868,c-870)
<br /> ❑ 37. Lack of outlet in habitable room,lack of approved light fixture in bathroom and toilet room. (T25,a-872,b-874)
<br /> ❑ 38. Lack of enclosed light fixture over bathtub or in shower compartment. (T25,878)
<br /> ❑ 39. Light/pull chain switch located in damp location/within reach of plumbing fixture,cook stove, range,furnaces. (T25,a-880,b-882,c-884)
<br /> 4 ❑ 40. Improper use of extension cords. (T25,a-894,b-896)
<br /> 41. Outlet box/exposed,nonmetallic-sheeted cable not properly protected from physical or mechanical damage. (T25,a-886,b-888,c-890,d-892)
<br /> ❑ 42. Inadequate mobile home,recreational vehicle,tent. (T25,a-900, b-902,c-904,d-908,a-910)
<br /> COMPLIANCE DATE: ElImmediately ElWithin five (5) days XrWithin thirty(30)days
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<br /> Any person served with a Notice of Violation may request a hearing on the matter by submitting a brief written statement
<br /> presenting the reasons for the request to the Environmental Health Department within ten 10 days of the service of the notice.
<br /> [jUNSAFE WATER NOTICE POSTED ❑UNSAFE TO OCCUPY NOTICE POSTED ❑ISSUE PERMIT TO OCCUPANCY El DO NOT ISSUE PER
<br /> Received by: Title: Inspection by:
<br /> Employee Housing Inspection Notice
<br /> EHD 27-02 2124/12
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