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oPa� ! N, 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 . siaov . org/ehd
<br /> cgt'i is o a��P
<br /> EMPLOYEE HOUSING INSPECTION NOTICE
<br /> ID #39 - ❑ Permanent Year Round ( > 181 days ) ❑ Seasonal ( 080 days ) ❑ Temporary DATE :
<br /> ❑ PRE-OCCUPANCY ❑ OCCUPANCY ❑ COMPLAINT ❑ NUMBER OF OCCUPANTS :
<br /> ❑ RE-INSPECTION ❑ RE-INSPECTION ❑ POST OCCUPANCY ❑ PERMITTED OCCUPANCY :
<br /> LOCATION : +~ `r,: / i � Aj A CITY : CAMP TELEPHONE : + t
<br /> OPERATOR NAME : fl `Ir TELEPHONE :
<br /> OPERATOR ADDRESS : a CITY :
<br /> OWNER NAME : TELEPHONE . v I v z •
<br /> OWNER ADDRESS : CITY :
<br /> CHSC - California Health & Safe . 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 /> ❑ 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 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 /> ❑ 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) ) p`t�
<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 , -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-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-8221 d-824, a-826 , f-828 , g-830 , 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-854 , d-858 , a-860)
<br /> ❑ 35 . Insufficient vertical clearance for electric wires above roofs (8' ) , walkways , attachment point of buildings ( 10' ) , and driveways . (T25 , a-862 , b-864)
<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 /> ❑ 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 Date E] Within thirty ( 30 ) days
<br /> Dale
<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 NOTICE POSTED ❑ UNSAFE TO OCCUPY NOTICE POSTED ❑ ISSUE PERMIT TO OCCUPANCY ❑ DO NOT ISSUE PERMIT
<br /> Received by: Title: Inspection by:
<br /> EHD 27-02 2/24/ 12 Employee Housing Inspection Notice
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