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SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />` 1868 East Hazelton Avenue, Stockton, CA 95205
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'gov.org/ehd
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<br />EMPLOYEE HOUSING INSPECTION NOTICE
<br />D#39- ❑ Permanent Year Round (>181 days) ❑ Seasonal (x180 days) ❑ Temporary DATE:
<br />PRE -OCCUPANCY ❑ OCCUPANCY ❑ COMPLAINT ❑ NUMBER OF OCCUPANTS:
<br />❑ RE -INSPECTION ❑ RE -INSPECTION ❑ POST OCCUPANCY ❑ PERMITTED OCCUPANCY:
<br />LOCATION:
<br />9'Z CITY: K CAMP TELEPHONE: 3
<br />OPERATOR NAME: MPI tz'e�I`^ 1.ci�D12 TELEPHONE: 2-
<br />OPERATOR ADDRESS: -} CITY:
<br />OWNER NAME: M 1 Gi TELEPHONE: }�
<br />OWNERADDRESS: ` L CITY:
<br />CHSC -California Health & Safety Code; T25 -Title 25, California Code of Regulations; T24 -Title 24 California Code of Re ulations
<br />NOTICE OF VIOLATION - The items checked below are violations to be corrected:
<br />❑
<br />1.
<br />Camp lacks permit to operate for current calendar year. (CHSC 17030(a))
<br />❑
<br />2.
<br />Bilingual Notice not posted in conspicuous place in camp. (T25, a-624, b-625)
<br />❑
<br />3.
<br />No responsible person assigned by operator to maintain the camp building and area. (CHSC 17038)
<br />❑
<br />4.
<br />Name, address, and telephone number of a responsible person to maintain labor camp not posted if not residing on premises. (T25, 627)
<br />❑
<br />5.
<br />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 />❑
<br />6.
<br />Camp is in violation of the permitted occupancy requirements. (T25, 631)
<br />❑
<br />7.
<br />Heater not installed in shower room. (T25, 655)
<br />8.
<br />Openable windows not provided with insect screening in habitable rooms. (T25, 728a)
<br />❑
<br />9.
<br />Solid doors or screen doors not provided with self-closing device. (T25, 728b)
<br />❑
<br />10.
<br />Camp area not free of depression in which water can stand. (T25, 700)
<br />❑
<br />11.
<br />Domestic animals and poultry running at large in camp area. (T25, 702)
<br />❑
<br />12.
<br />Building and grounds are not maintained in a clean and sanitary condition. (T25, a-704, b-710)
<br />❑
<br />13.
<br />Building and other housing are not identified with letters or numbers at least 3" high. (T25, 712)
<br />❑
<br />14.
<br />Habitable rooms and sleeping areas lack sufficient window area and/or lack required openable area. (T24, 1203.4)
<br />15.
<br />Hallways, stairways, and exit ways (except in single family dwellings) lack adequate lighting. (T24, 1001)
<br />❑
<br />16.
<br />Escape or rescue windows are of insufficient size or height. (T24,1018)
<br />❑
<br />17.
<br />Rooms or areas for sleeping more than one person lack 50 square feet of floor area for each occupant. (T25, 724)
<br />❑
<br />18.
<br />Bed frames are rusty, deteriorated, or unsanitary. (T25, 732(a))
<br />❑
<br />19.
<br />Bedding provided by camp operator is soiled, deteriorated, or unsanitary. (T25, 732(b))
<br />❑
<br />20.
<br />Kitchen and/or mess hall being used for sleeping purposes. (T25, 734)
<br />❑
<br />21.
<br />Kitchen and mess hall not maintained in a clean and sanitary condition. (T25,a-736, b-738, c-740)
<br />❑
<br />22.
<br />Inadequate storage and removal of refuse and garbage. (T25, 742)
<br />❑
<br />23.
<br />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 />4.
<br />Lack of or inadequate smoke detectors. (CH & SC 13113.7)
<br />❑
<br />25.
<br />Articles or materials being maintained on premises creating a fire hazard. (T25, 746)
<br />❑
<br />26
<br />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 />❑
<br />27.
<br />Sewage disposal system failing. (T25, a-784, b-786, c-792)
<br />❑
<br />28.
<br />Water supply not fit for domestic use. (T25, a-770, b-772, c-774)
<br />D!P29.
<br />Camp lacks adequate heating facilities. (T25, a-800, b-802)
<br />❑
<br />30.
<br />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 a-814, f-816).
<br />❑
<br />31.
<br />Appliances lack proper vent, clearance, or shut-off valve. (T25, a-818, b-820, c-822, d-824, e-826, f-828, g-830, h-832)
<br />❑
<br />32.
<br />Water heater lacks temperature -pressure relief valve, and/or improperly plumbed to outside of building. (T25, 834)
<br />❑
<br />33.
<br />Water heater improperly located and/or lacks adequate combustion air. (T25, a -836,b- 838)
<br />❑
<br />34.
<br />Electrical system improperly grounded, fused, or protected, or not maintained in a safe working order. (T25, a-850, b-852, c-854, d-858, a-860)
<br />❑
<br />35.
<br />Insufficient vertical clearance for electric wires above roofs (8'), walkways, attachment point of buildings (10'), and driveways. (T25, a-862, b-864)
<br />❑
<br />36.
<br />Lack of ground of cord -connecting equipment. (T25, a-866, b-868, c-870)
<br />❑
<br />37.
<br />Lack of outlet in habitable room, lack of approved light fixture in bathroom and toilet room. (T25, a-872, b-874)
<br />❑
<br />38.
<br />Lack of enclosed light fixture over bathtub or in shower compartment. (T25, 878)
<br />❑
<br />39.
<br />L!ght/pull chain switch located in damp location/within reach of plumbing fixture, cook stove, range, furnaces. (T25, a-880, b-882, c-884)
<br />40.
<br />Improper use of extension cords. (T25, a-894, b-896)
<br />41.
<br />Outlet box/exposed, nonmetallic -sheeted cable not properly protected from physical or mechanical damage. (T25, a-886, b-888, c-890, d-892)
<br />❑
<br />42.
<br />Inadequate mobile home, recreational vehicle, tent. (T25, a-900, b-902, c-904, d-908, a-910)
<br />COMPLIANCE DATE: ❑ Immediately ❑ Within five (5) days ithin thirty (30) days MVI /M
<br />I WRIAAKE0110—I'M of a"
<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 (10) days of the service of the notice.
<br />❑ UNSAFE WATER NOTE POSTED _ []UNSAFE TO OCCUPY NOTICE POSTED ❑ ISSUE PERMIT TO OCCUPANCY ❑ DO NOT ISSUE PERMIT
<br />EHD 27-02 2/24/12 r v `� Employee Housing Inspection
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