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SAN JOAQUIN COUNTY <br /> - EN' ONMENTAL HEALTH DEPART" T <br /> 1868 East Hazelton Avenue, Stockton, CA 952u j'6232 <br /> • % Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIAL SECTION REPORT Page-of <br /> DBA INSPECTION DATE <br /> SOLID WASTE ❑ INFECTIOUS WASTE (' <br /> Structure operation VEHICLES/EQUIPMENT FAC�ITY 3ADDDRESS REINSPECTION DATE <br /> ❑ ❑ P <br /> 1. Registration(DMV) OWNERIOPERATORPHONE <br /> 10333 sl— <br /> ❑ ❑ 2. Solid Waste Permit INSPECTION TYPE 7ROGRAm ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> 13 ❑ A. Name: <br /> 4"Height x 1"Width , <br /> ❑ ❑ B. ID Number: <br /> 4"Height x 1"Width _ I v <br /> ❑ ❑ C. Lettering both sides10ySa30 I1 ( L <br /> F1 5. Cleaning /49S-112797 3 Sag ! j, I <br /> ❑ ❑ 6. Maintenance .10Y3 5741 67 Vt C 11 SL- <br /> ❑ 7. Tail Gate Seal /'.3 -3 7 <br /> ❑ r-18. Carry Tubes ��$� lea 6 C Q <br /> ❑ ❑ 9. Ride Steps ItDq <br /> / 1 '7 <br /> ❑ ❑ 10. Broom/Shovel 36 d-g -7 -® <br /> ❑ A <br /> 11. Roll Off Covers 3 319 91 ye if A <br /> ❑ ❑ 12. Leakage or Spillage f 97Y99W AD <br /> structure operation C O N T A I N E R S _7 i <br /> ❑ ❑ 13. Identification over 1 yd <br /> ❑ ❑ A. Name <br /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> structure operation Y A R D S <br /> ❑ 17. Sanitation <br /> ❑ ❑ Parking <br /> ❑ ❑ 1 Wash Down Facilities <br /> ❑ ❑ 20.Hazardous Waste Storage RE E INSPE TOR <br /> Time/Method <br /> 42-461' <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />