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PgU�N SAN JOAQUIN COUNTY
<br /> )O. .cpG
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> X 1868 East Hazelton Avenue, Stockton, CA 95205
<br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sFgov.org/ehd.
<br /> °gc/paaa`" EMPLOYEE HOUSING INSPECTION NOTICE j
<br /> ID #39- U"Permanent Year Round (>181 days) ❑ Seasonal (<_180 days) ❑ Temporary DATE:
<br /> PRE-OCCUPANCY ❑OCCUPANCY ❑COMPLAINT ❑NUMBER OF OCCUPANTS:
<br /> ❑ RE-INSPECTION ❑RE-INSPECTION ❑POST OCCUPANCY [�ERMITTED OCCUPANCY:
<br /> LOCATION: "/_/j'jtU1j JW CIT J CAMP TELEPHONE: Z
<br /> OPERATOR NAME: TELEPHONE:
<br /> OPERATOR ADDRESS: CI Y: / e 1'1
<br /> OWNER NAME: / TELEPHONE: �9 Z
<br /> OWNER ADDRESS: f?, CITY:
<br /> CHSC-California Health 8.Safety Code; T25-Title 25,California Code of Regulations; T24-Titl California Code of-Re ulatio
<br /> OTICE 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 /> ❑ 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. ame,address,and telephone number of a responsible person to maintain labor camp not posted if not residing on premises. (T25,627)
<br /> ❑ 5. rHeater
<br /> ation 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. in violation of the permitted occupancy requirements. (T25,631)
<br /> ❑ 7. n installed in shower room. (T25,655)
<br /> ❑ 8. able dows not provided with insect screening in habitable rooms. (T25,728a)
<br /> 9. doors or creen doors not provided with self-closing device. (T25,728b)
<br /> ❑ 10. Camp area not Ne of depression in which water can stand. (T25,700)
<br /> ❑ 11. Domestic animals NQd poultry running at large in camp area. (T25,702)
<br /> ❑ 12. Building and grounds re not maintained in a clean and sanitary condition. (T25,a-704,b-710)
<br /> ❑ 13. Building and other hous g are not identified with letters or numbers at least 3"high. (T25,712)
<br /> ❑ 14. Habitable rooms and slee 'ng areas lack quffictnt ' dow area and/or lack required openable area. (T24, 1203.4)
<br /> ❑ 15. Hallways,stairways,and exi ays(excep I s gl fa ily dwellings)lack adequate lighting. (T24, 1001)
<br /> ❑ 16. Escape or rescue windows are f insufficie t • e or eight. (T24, 1018)
<br /> ❑ 17. Rooms or areas for sleeping mor than one person lack 50 square feet of floor area for each occupant. (T25,724)
<br /> ❑ 18. Bed frames are rusty,deteriorated, unsanitary. (T25,73 (a)) j ` _
<br /> ❑ 19. Bedding provided by camp operator is oiled,Nteriqraled,Qj u t(T51 ))
<br /> ❑ 20. Kitchen and/or mess hall being used for eepin u o 34
<br /> ❑ 21. Kitchen and mess hall not maintained in a an a d anitary condition. (T25,a-736,b-738,c-740)
<br /> ❑ 22. Inadequate storage and removal of refuse an arbage. (T25,742)
<br /> ❑ 23. Lack of/inadequate approved B/C-fire extinguish r in mess hall kitchen and/or Class A(every 5000 sq.ft.)in dormitory.(T25,a-744(a),b-744(b))
<br /> ❑ 24. Lack of or inadequate smoke detectors. (CH&SAJ 3113.7)
<br /> ❑ 25. Articles or materials being maintained on premises crating a fire hazard. (T25,746)
<br /> ❑ 26 Plumbing system,fixtures,equipment,devices,and safkguards not maintained in good working order or are inadequate. (T25,a-756,b-758,
<br /> c-760,d-762,a-764,f-766, -768,h-788,i-790,i-792
<br /> ❑ 27. Sewage disposal system failing. (T25,a-784,b-786,c-79
<br /> ❑ 28. Water supply not fit for domestic use. (T25,a-770,b-772,c- 4)
<br /> ❑ 29. Camp lacks adequate heating facilities. (T25,a-800,b-802)
<br /> ❑ 30. Liquefied petroleum gas tanks inadequate(lack foundation,impr erly 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 /> ❑ 31. Appliances lack proper vent,clearance,or shut-off valve. (T25,a-8 ,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 imprope plumbed to outside of building. (T25,834)
<br /> ❑ 33. Water heater improperly located and/or lacks adequate combustion air.NT
<br /> 25,a-836,b-838)
<br /> ❑ 34. Electrical system improperly grounded,fused,or protected,or not maintai d 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,a achment 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 t 'et 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,coo stove,range,furnaces. (T25,a-880,b-882,c-884)
<br /> ❑ 40. Improper use of extension cords. (T25,a-894,b-896)
<br /> ❑ 41. Outlet boxtexposed,nonmetallic-sheeted cable not properly protected from physical or chanical 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,e- 0)
<br /> COMPLIANCE DATE: ❑ Immediately ❑ Within five (5)days ❑Within thirty (30) days
<br /> Dale Uale
<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 /> ❑UNSAFE WAT OTICE POSTED ❑UNSAFE TO OCCUPY NOTICE POSTED ❑ ISSUE PERMIT TO OCCUPANCY ❑DO NOT ISSUE PERMIT
<br /> Received by: Title: Inspection by:
<br /> 5/t/c M.-,, r_('
<br /> EHD 27-02 2/24/12 Employee Housing Inspection Notice
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