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Pp N SAN.TOAQUIN COUNTY <br /> �o ,...0!......c <br /> Q: <br /> r ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: �� j u �q� ^ INSPECTION DATE: ! 2 <br /> PREMISE ADDRESS: ZZ�1v� ��,`y"7 CITY: ,&j tit,, ZIP CODh: - <br /> OWNER/015R6� I-e'� TELEPHONE: <br /> PROGRAM ELEMENT: PROGRAM RECORD' A„ 87 t 2 INSPECTION TYPE: 44— REINSPECT BY: <br /> V V # Code Section Pumper Trucks/Yards <br /> 1 DEV 9-1110.8; VALID PERMIT/REGISTRATION DISC/ 3 Q <br /> HSC 117405 (� <br /> 2 DEV 9-1110.8; MONTHLY PUMPING REPORTS 4d�`� <br /> HSC 117435 <br /> IDENTIFICATION OF VEHICLES: V-•� V t <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND <br /> CAPACITY <br /> b)6":REGISTRATION NUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 CSDS(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 Puw' <br /> 5 CSDS(9)(B) FREE OF LEAKAGE,SPILLAGE OR <br /> SPLASHING.. <br /> HSC 117420 Hosss: <br /> 6 CSDS(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. <br /> 117420; <br /> 7 HSC RACKS ARE MADE OF METAL <br /> CSDS(9)(D) <br /> 8 HSC 117420 YARD: <br /> CSDS(3) a)SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS — — — <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARYCONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSE,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASILY CLEAN <br /> 9 OWDS 11.1 FLOOR W/URINAL 10 SQ.FT. <br /> OWDS 11.1 FLOOR W/OUT URINAL 8 SQ.FT. <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> n OWDS 11.9 LETTERING HEIGHT 3" <br /> RECEIVED BY: `- TITLE: DATE: <br /> REHS: PHONE: DATE: <br /> '7 2 <br /> V=Violation;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF_ <br /> Revised on 12/5/2023 P:\Unit IRLiquid Waste\Form-Pumper Trucks Official Inspection Report-f1NAL.doc <br />