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". • . . to SAN JOAQUIN COUNTY
<br /> 1*4 2 ENVIRONMENTAL HEALTH DEPARTMENT
<br /> _ ` 1868 East Hazelton Avenue , Stockton , CA 95205
<br /> Telephone : (209 ) 468 - 3420 Fax: ( 209 ) 464 - 0138 Web: WWW . slgov . org /ehd
<br /> oq `i iy o R��P
<br /> EMPLOYEE HOUSING INSPECTION NOTICE
<br /> ID #39- ❑ Permanent Year Round (> 181 days ) iol Seasonal (5180 days ) AW.Temporary DATE :
<br /> ❑ PRE -OCCUPANCY OCCUPANCY ❑ COMPLAINT
<br /> �� NUMBER OF OCCUPANTS :
<br /> ❑ RE - INSPECTION ❑ RE - INSPECTION ❑ POST OCCUPANCY ❑ PERMITTED OCCUPANCY :
<br /> LOCATION : CAMP TELEPHONE :
<br /> Z- ITY :
<br /> OPERATOR NAME : i l t TELEPHONE :
<br /> OPERATOR ADDRESS : WiT 4 CITY :
<br /> OWNER NAME : 11 :r F- TELEPHONE :
<br /> OWNER ADDRESS : ix CITY : 110 �o
<br /> CHSC - California Health & Safety Code ; T25 - Title 25 , California Code of Regulations ; T24 - Title 24, California Code of Regulations
<br /> NOTICE OF VIOLATION - The items checked below are violations to be corrected :
<br /> ❑ 1 . Camp lacks permit to operate for current calendar year . ( CHSC 17030 (a) )
<br /> ❑ 2 . Bilingual Notice not posted in conspicuous place in camp . (T25 , a- 624 , b - 625 )
<br /> ❑ 3 . No responsible person assigned by operator to maintain the camp building and area . (CHSC 17038)
<br /> ❑ 4 . Name , address , and telephone number of a responsible person to maintain labor camp not posted if not residing on premises . (T25 , 627)
<br /> E] 5 . Application for a permit to operate not made at least 45 days prior to date of initial occupancy in current calendar year. (T25 , 631 )
<br /> E:16 . Camp is in violation of the permitted occupancy requirements . (T25 , 631 )
<br /> ❑ 7 . Heater not installed in shower room . (T25 , 655 )
<br /> ❑ 8 . Openable windows not provided with insect screening in habitable rooms . (T25 , 728a)
<br /> ❑ 9 . Solid doors or screen doors not provided with self- closing device . (T25 , 728b)
<br /> 0 10 . Camp area not free of depression in which water can stand . (T25 , 700)
<br /> ❑ 11 . Domestic animals and poultry running at large in camp area . (T25 , 702 )
<br /> ❑ 12 . Building and grounds are not maintained in a clean and sanitary condition . (T25 , a - 704 , b - 710)
<br /> ❑ 13 . Building and other housing are not identified with letters or numbers at least 3" high . (T251 712 )
<br /> ❑ 14 . Habitable rooms and sleeping areas lack sufficient window area and/or lack required openable area . (T24 , 1203 . 4)
<br /> ❑ 15 . Hallways , stairways , and exit ways ( except in single family dwellings) lack adequate lighting . (T24 , 1001 )
<br /> ❑ 16 . Escape or rescue windows are of insufficient size or height . (T24 , 1018 )
<br /> ❑ 17 . Rooms or areas for sleeping more than one person lack 50 square feet of floor area for each occupant . (T25 , 724)
<br /> ❑ 18 . Bed frames are rusty , deteriorated , or unsanitary . (T25 , 732 (a) )
<br /> ❑ 19 . Bedding provided by camp operator is soiled , deteriorated , or unsanitary . (T25 , 732 ( b ) )
<br /> ❑ 20 . Kitchen and/or mess hall being used for sleeping purposes . (T25 , 734)
<br /> ❑ 21 . Kitchen and mess hall not maintained in a clean and sanitary condition . (T25 , a-736 , b - 738 , c- 740)
<br /> ❑ 22 . Inadequate storage and removal of refuse and garbage . (T25 , 742 )
<br /> ❑ 23 . Lack of/inadequate approved B/C -fire extinguisher in mess hall kitchen and/or Class A (every 5000 sq .ft. ) in dormitory . (T25 , a - 744 (a) , b - 744 ( b ) )
<br /> ❑ 24 . Lack of or inadequate smoke detectors . (CH & SC 13113 . 7)
<br /> ❑ 25 . Articles or materials being maintained on premises creating a fire hazard . (T25 , 746 )
<br /> ❑ 26 . Plumbing system , fixtures , equipment , devices , and safeguards not maintained in good working order or are inadequate . (T25 , a- 756 , b - 758 ,
<br /> c - 760 , d - 762 , e - 764 , f- 766 , - 7687 h - 7881 i -790 , ' - 792
<br /> ❑ 27 . Sewage disposal system failing . (T25 , a - 784 , b - 786 , c - 792)
<br /> ❑ 28 . Water supply not fit for domestic use . (T25 , a- 770 , b - 772 , c - 774)
<br /> ❑ 29 . Camp lacks adequate heating facilities . (T25 , a-800 , b - 802 )
<br /> ❑ 30 . Liquefied petroleum gas tanks inadequate ( lack foundation , improperly located , lack protective barriers , lack minimum clearance , lack " No
<br /> Smoking sign ) . T25 , a- 806 , b - 808 , c- 810 , d - 812 , e - 814 , f- 816 ) .
<br /> ❑ 31 . Appliances lack proper vent, clearance , or shut-off valve . (T25 , a- 818 , b - 820 , c - 822 , d - 824 , e- 826 , f-, 828 , g -8301 h - 832 )
<br /> ❑ 32 . Water heater lacks temperature - pressure relief valve , and/or improperly plumbed to outside of building . (T25 , 834)
<br /> ❑ 33 . Water heater improperly located and/or lacks adequate combustion air . (T25 , a - 836 , b - 838 )
<br /> ❑ 34 . Electrical system improperly grounded , fused , or protected , or not maintained in a safe working order. (T25 , a-850 , b - 852 , c- 8541 d - 858Ab � 864 )
<br /> ❑ 35 . Insufficient vertical clearance for electric wires above roofs ( 8 ' ) , walkways , attachment point of buildings ( 10 ' ) , and driveways . (T25 , a - 8
<br /> ❑ 36 . Lack of ground of cord -connecting equipment . (T25 , a - 866 , b -868 , c- 870)
<br /> ❑ 37 . Lack of outlet in habitable room , lack of approved light fixture in bathroom and toilet room . (T25 , a- 872 , b - 874)
<br /> ❑ 38 . Lack of enclosed light fixture over bathtub or in shower compartment . (T25 , 878 )
<br /> ❑ 39 . Light/pull chain switch located in damp location/within reach of plumbing fixture , cook stove , range , furnaces . (T25 , a- 880 , b - 882 , c- 884)
<br /> E] 40 . Improper use of extension cords . (T25 , a- 894 , b - 896)
<br /> ❑ 41 . Outlet box/exposed , nonmetallic-sheeted cable not properly protected from physical or mechanical damage . (T25 , a-886 , b - 888 , c- 890 , d - 892)
<br /> ❑ 42 . Inadequate mobile home , recreational vehicle , tent . (T25 , a- 900 , b- 902 , c- 9041 d- 908 , e-910)
<br /> COMPLIANCE DATE : ❑ Immediately ❑ Within five ( 5 ) days
<br /> El Within thirty ( 30 ) days
<br /> _ ate
<br /> Any person served with a Notice of Violation may request a hearing on the matter by submitting a brief written statement
<br /> presenting the reasons for the request to the Environmental Health Department within ten ( 1_0) days of the service of the notice .
<br /> ❑ UNSAFE WATER N TICE POSTED ❑ UNSAFE TO OCCUPY NOTICE POSTED ❑ ISSUE PERMIT TO OCCUPANCY ❑ DO NOT ISSUE PERMIT
<br /> Received by: -Title : S ` Inspection by :
<br /> EHD 27-02 2/24/12 Employee Housing Inspection Notice
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