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SAN JOAQUIN COUNTY <br /> ., <br /> ENVNMENTAL HEALTH EPARTME t <br /> IFTO <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> r. Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page_of_ <br /> DBA INs7CTIION DATE <br /> OLID WASTE❑ INFECTIOUS WASTE r.-,l <br /> E 7 `7 / <br /> FACILITY ADDRESS ® 0 REINSPECTION DATE <br /> Structure Operation VEHICLES/EQUIPMENT <br /> I C a <br /> El1. Registration(DMV) OWNER/OPERATOR <br /> s PHONE <br /> El 112. Solid Waste Permit d 0^ ,'" Q " Nt A09-333 <br /> -64,55 <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit ?-R <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: I <br /> El El 4" <br /> Name: <br /> 4"Height x 1"Width <br /> ❑ ❑ B. ID Number: <br /> 4"Height x 1"Width 07 ICOMMEamn <br /> ❑ ❑ C. Lettering both sides '` 1 ' ® ` <br /> No cuRzewf i2tzCr`an kT{�N <br /> ❑ ❑ 5. Cleaning 105/,01 304 74 14 <br /> ❑ ❑ 6to LLT• DkiaV. <br /> . Maintenance <br /> G 3*2 7 7 >' <br /> .. 'R1LsQttsY RA."t10N <br /> ❑ ❑ 7. Tail Gate Seal <br /> - R {b iTON <br /> ❑ ❑ 8. Carry Tubes 0911336 F <br /> R�fx�3` 110M <br /> ❑ ❑ 9. Ride Steps I <br /> ❑ ❑ 10. Broom/Shovel a' -Pj FL O <br /> ❑ ❑ 11. Roll Off Covers R <br /> ❑ ❑ 12. Leakage or Spillage <br /> structure j operation C O N T A I N E R S <br /> ❑ ❑ 13. Identification over 1 yd <br /> ❑ ❑ A. Name <br /> ❑ ❑ B. Telephone Number _ RE:Ca t TR&t l® <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 /> El 1:120.Hazardous Waste Storage <br /> REW-ft <br /> INSPECTOR <br /> Time/Method <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />