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o, ,40t' ! !y, 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 . siqov . orq/ehd gov . orq/ehd
<br /> " F ° EMPLOYEE HOUSING INSPECTION NOTICE
<br /> > 5 - 1 it
<br /> ID #39 - ❑ Permanent Year Round (> 181 days ) [I Seasonal (:5180 days ) ❑ Temporary DATE : ' / � / � i �
<br /> ❑ PRE-OCCUPANCY CCUPANCY ❑ COMPLAINT �XNUMBER OF OCCUPANTS . •"'y
<br /> ❑ RE-INSPECTION ❑ RE-INSPECTION ❑ POST OCCUPANCY ' PERMITTED OCCUPANCY:
<br /> LOCATION : Z n ' vete C CITY: CAM
<br /> , P TELEPHONE: ( �
<br /> OPERATOR NAME: Ir {rte TELEPHONE : a !t Q
<br /> OPERATOR ADDRESS : l L' CITY:
<br /> OWNER NAME : TELEPHONE:
<br /> OWNER ADDRESS : CITY:
<br /> 4 CHSC - California Health & SafeV Code T26 -'Title 26 . California Code of.Re ulations T24:410r3 '24 • Ctil form W Re citations '
<br /> NOTICE OF VIOLATION - The items checked below are violations to be corrected :
<br /> ❑ 1 . rBilingual
<br /> p lacks permit to operate for current calendar year. (CHSC 17030(a ) )
<br /> ❑ 2. Notice not posted in conspicuous place in camp. (T25 , a-6241 b-625)
<br /> El 3. esponsible 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 /> ❑ 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 /> ❑ 6 . Camp is in violation of the permitted occupancy requirements. (T25 , 631 )
<br /> ❑ 7. Heater riot 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 /> ❑ 1o. 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, gJ681 h-788 , i-790 '-792) r,
<br /> E] 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) IV 1 >
<br /> 94 C {
<br /> ❑ 29. Camp lacks adequate heating facilities . (T25 , a-800 , b-802) ' �� ay. �►
<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 , a-814 , f-816 .
<br /> ❑ 31 . Appliances lack proper vent, clearance , or shut-off valve. (T25 , a-818 , b-820, c-822 , d-824, a-826 , f-828 , g-8301 h-832)
<br /> ❑ 32. 1 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-854, d-858, a-860)
<br /> ❑ 35. Insufficient vertical clearance for electric wires above roofs (6 ), walkways , attachment point of buildings ( 10' ), and driveways . (T25 , a-862, b-864)
<br /> ❑ 36. Lack of ground of cord-connecting equipment. (T25 , a-8661 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 /> ❑ 3B. 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 /> ❑ 40. Improper use of extension cords . (T25, a-894, b-896)
<br /> ❑ 41 . Outlet boxtexposed , 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-904, d-908, a-910)
<br /> COMPLIANCE DATE : ❑ Immediately ❑ Within five 5) days ❑ Within thirty (30 ) days
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<br /> 44 SpA ' � Y� �J ti'a n .
<br /> ' Any person served with a Notice of Violation may request a hearing on the matter by subm'ttin a brief written statement -
<br /> presenting the reasons for the request to the Environmental Health Dep wl In en ( 10 days o ae _ is of the notice.
<br /> ❑ UNSAFE WATER NOTICE POSTED ❑ UNSAFE TO OCCUPY NOTICE POSTED ' ISSUE PERMIT TO OCCUPANCY ❑ DO NOT ISSUE PERMIT
<br /> -`� Ins ection b [ '
<br /> Received by: r � r, Title: P a
<br /> EHD 27-02 2/24112 r i J /u , ' "may mployee Housing Inspectiog Notice
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