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P°`��" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-2708 <br /> c. P 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: lh�.t�t✓ sc G INSPECTION DATE: <br /> L / IZ'3��Z <br /> PREMISE ADDRESS: CITY: /�� ZIP CODE: j Z <br /> OWNER/OPERATOR: l TELEPHONE: <br /> PROGRAM ELEMENT: PROGRAM RECORD: INP ION TYPE: REINSPECT BY: <br /> P�_ &- <br /> V V # Code Section Pumper Trucks/Yards <br /> I DEv 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 <br /> 2 DEV 11743.8; MONTHLY PUMPING REPORTS I ' ' S KK 1V 5"M ISI/n 3-7�S <br /> HSC 117435 <br /> IDENTIFICATION OF VEHICLES: <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND Q^ �' et ��� �x �'A( <br /> CAPACITY V J <br /> b)6":REGISTRATION NUMBER k <br /> TANK: ��''\\ -d <br /> HSC 117420 a)METAL CONSTRUCTION �` ,�= G� ` /300 <br /> 4 CSDS(9)(A) b)LEAK c)MANUAL OF VALVES <br /> ko e <br /> d)VALVE LOCATION <br /> HSC 117420 Pump: <br /> 5 CSDS(9)(B) <br /> FREE OF LEAKAGE,SPILLAGE OR / <br /> SPLASHING. Q �P • V �( r <br /> 6 HSC 117420 HOSES: S <br /> )AVAILABLE AND ADEQUATE. Q t�Kc <br /> CSDS(9)(C) b)CLEAN AND WATERTIGHT. <br /> V 01-<1P7 CSDS(9)(D)HSC 117420; RACKS ARE MADE OF METAL 1- a. A.< p;/e <br /> ['t <br /> 8 HSC 117420 YARD: <br /> CSDS(3) a)SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON O !r-, (� e r o U�D�ex, <br /> t . <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE i <br /> 4 OWDS 11.6 TYPE OF CHEMICALS , <br /> 5 OWDS 11.8 UNSANITARY CONDITION <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 /> 11 O S 11 LnIRING HEIGHT 3" <br /> REC Y: TITLE: � �S L DATE: <br /> REHS: PH 2s� DATE: <br /> Apt, L-r � -�vf(o-3v��s lei-51-i <br /> V=Violati ;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> Revised on 12/13/2024 P:\FORMS DIRECTORY\UNIT ZLIQUID WASTE PROGRAM\OLD FORMS\Form-Pumper Trucks Off <br />