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SAN JOAQUIN COUNTY <br /> ' EN ` NMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> ., . ' <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page I of <br /> DBA e INSPECTION DATE <br /> SOLID WASTE ❑ INFECTIOUS WASTE `✓ may" <br /> structure operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> > 3 3 3 <br /> --^ <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE <br /> - r - <br /> ❑ ❑ 2. Solid Waste Permit INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID ®® <br /> 7 <br /> ❑ ❑ 3. Infectious Waste Permit <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: ®^ ^� <br /> ❑ ❑ A. Name: <br /> 4"Height x 1"Width o <br /> ❑ ❑ B. ID Number: <br /> 4"Height x 1"Width <br /> n <br /> ❑ ❑ C. Lettering both sides <br /> ❑ 5. Cleaning /o y Z .S/ f ./{ <br /> ❑ ❑ 6. Maintenance /01? 51P 4 ' to <br /> ❑ ❑ 7. Tail Gate Seal 63o7,cj S 0 Lf1 <br /> ❑ ❑ 8. Carry Tubes 36 ,Lz -7 <br /> ❑ ❑ 9. Ride Steps YI.3A 3 f Y <br /> ❑ ❑ 10. Broom/Shovel J ISE—Y® a030 Lf q <br /> ❑ ❑ 11. Roll Off Covers y/Y y -7 / '1 'to 9VI <br /> ❑ ❑ 12. Leakage or Spillage <br /> structureOperation C O N T A I N E R S — Ale- , <br /> ❑ ❑ 13. Identification over 1 yd / v! <br /> ❑ ❑ A. Name ✓e , V <br /> ❑ ❑ B. Telephone Number Q ^ p <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> Structure Operation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RECE D INSPEC OR <br /> ❑ ❑ Time/Method t <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />