|
' tR'A SAN JOAQUIN COUNTY Q ��
<br /> r'' a ENVIRONMENTAL HEALTH DEPARTMENT �1Z
<br /> 1868 East Hazelton Avenue,Stockton,CA 95205
<br /> ` Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s6gov.org/ehd 1~
<br /> EMPLOYEE HOUSING INSPECTION NOTICE /-ID#39- ❑ Permanent Year Round(>181 days) Seasonal(s180 days) ❑Temporary DATE: rU/z�
<br /> f RE-OCCUPANCY OCCUPANCY ❑COMPLAINT NUMBER OF OCCUPANTS: z[
<br /> RE-INSPECTION RE-INSPECTION ❑POST OCCUPANCY PERMITTED OCCUPANCY: t
<br /> LOCATION: G- 0 CITY: O CAMP TELEPHONE: L
<br /> `W OPERATOR NAME: "'ra TELEPHONE:
<br /> OPERATOR ADDRESS: 4 ✓� CITY: ` [♦�
<br /> OWNER NAME: TELEPHONE:
<br /> OWNER ADDRESS: CRY: AA—
<br /> CHSC-California Health&Safety Code; T25-Title 25 California Code of Re ulations• T24-Title 24 California Code of Re ulations
<br /> NOTICE OF VIOLATION-The items checked below are violations to be corrected: _ 1,ar
<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) r 1
<br /> ❑ 4. Name,address,and telephone number of a responsible person to maintain labor camp not posted If not residing on premises. (T25,627) rJ t f1ti�
<br /> ❑ 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) (S
<br /> ❑ 6. Camp is in violation of the permitted occupancy requirements. (T25,631) 1 Y 1
<br /> ❑ 7. Heater not installed in shower room. (T25,655) �1 t
<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) * f
<br /> ❑ to. Camp area not free of depression in which water can stand. (T25,700) �3
<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,x-704,b-710) ,G
<br /> ❑ 13. Building and other housing are not identified with letters or numbers at least 3'high. (T25,712)
<br /> ❑ 14. Habitable rooms and sleeping areas lack sufficient window area and/or lade required openable area. (T24.1203.4) 2J
<br /> ❑ 15. Hallways,stairways,and exit ways(except in single family dwellings)lack adequate fighting (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(x)) I g
<br /> ❑ 19. Bedding provided by camp operator Is soiled,detenorated,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. 1 Inadequate storage and removal of refuse and garbage. (T25,742)
<br /> ❑ 23. Lack otlmadequate approved B/C-fire extinguisher in mess hall kitchen and/or Class A(every 5000 sq.ft.)in dormitory.(T25,a-744(x),b-744(b))
<br /> ❑ 24. Lack of or inadequate smoke detectors. (CH 8 SC 13113.7) _
<br /> ❑ 25. Articles or materials being maintained on premises creating a fire hazard. (T25,746)
<br /> ❑ 28 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,a-764,f-766. -768,h-788,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-8W.b-802)
<br /> ❑ Liquefied petroleum gas tanks inadequate(lack foundation,impropedy located,lack protective barriers.lack minimum clearance,lack'No
<br /> 30- Smoking"sign). 25 a-806,b-808,c 810, 12,e-814,1-816). —
<br /> ❑ 31. Appliances lack proper vent,clearance,or shutoff valve. (M.x-818,b-820,c-822,d-824,a-826,f-828,030.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,a4M.b-852,6854,d-858.a-880)
<br /> ❑ 35. Insufficient vertical clearance for electric wires above roofs(8').walkways,attachment point of buildings(10'),and driveways.(T25,x-862,b4864)
<br /> ❑ 36. Lack of ground of cord-connecting equipment. (T25.x-866.b-868,c-870)
<br /> ❑ 37. Lack of outlet in habitable room,lack of approved light fixture in bathroom and toilet room. (T25,"72,b-874)
<br /> ❑ 38. Lack of enclosed light fixture over bathtub or in shower compartment. (T25,878)
<br /> ❑ 39. Lighttpull chain switch located in damp location/within reach of plumbing fixture,cook stove,range,furnaces. (T25,a-880,b-882,c-884)
<br /> ❑ 40. Improper use of extension cords. (T25,a-894,b-896)
<br /> 41. Outlet box/exposed,nonmelaltio-sheeted cable not properly protected from physical or mechanical damage. (T25,a-886,b-888,c-890,d-892)
<br /> E] 42. 1 Inadequate mobile home,recreational vehicle,tent. (T25,x-900,b-902,c-904,d-908,a-910)
<br /> COMPLIANCE DATE:❑Immediately ❑ Within five 5 days ❑Within thirty 30 days
<br /> A r l c+ t+yi r
<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 len 10 days of the service of the notice.
<br /> ❑UNSAFE WATER NOTIC€POSTED UNSAFE TO OCCUPY NOTICE POSTED ISSUE PERMIT TO OCCUPANCY ❑DO NOT ISSUE PERMIT
<br /> Received by:v
<br /> Title: Inspection by: t
<br /> EHD 27-02 AK Employee Housing Inspection Notice
<br />
|