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SAN.JOAQUIN COUNTY
<br /> ' ENVIRONMENTAL HEALTH DEPARTMENT
<br /> e. " 1868 East Hazelton Avenue,Stockton,CA 95205
<br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd
<br /> `i.0 EMPLOYEE HOUSING INSPECTION NOTICE p
<br /> ID 39- J1Permanent Year Round(>181 days) ❑ Seasonal(5180 days) ❑Temporary DATE: I / J/ 23
<br /> 15 PRE-OCCUPANCY []OCCUPANCY ❑COMPLAINT ❑NUMBER OF OCCUPANTS:
<br /> ❑RE-INSPECTION ❑RE-INSPECTION ❑POST OCCUPANCY ❑PERMITTED OCCUPANCY:
<br /> LOCATION: ,' S / '!'1 CITY: •M em CAMP TELEPHONE:
<br /> OPERATOR NAME: mn.�•G TELEPHONE:V rcjZ J�
<br /> OPERATOR ADDRESS: S N W. CITY:
<br /> OWNER NAME: L-L-IL, WICK. O Q TELEPHONE:
<br /> OWNER ADDRESS: 3.7 V, n,1ton, Vf, CITY: i LA, Z16 '1"17- 'Li
<br /> HSC-California Health&SafetCode 6-TINe 26 Callfomli Code of R ulatloha•T24'-TI e'24fCellfomte Code of ReguIN61riiii.
<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 /> ❑ 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)4rmll I e^ Firm WYw (/�
<br /> ❑ 13. Building and other housing are not identified with letters or numbers at least 3'high. (T25,712) 01- e- LOW f r-17 3
<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. (r25,724)
<br /> ❑ 18. Bed frames are rusty,deteriorated,or unsanitary. (T25,732(x))
<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 /> V 21. Kitchen and mess hall not maintained in a clean and sanitary condi ion. (T25,a-736,b-738,c-740)
<br /> ❑ 22. Inadequate storage and removal of refuse and garbage. (T25,742)
<br /> ❑ 23. Lack offinadequate approved B/C-Tire extinguisher in mess hall kitchen and/or Class A(every 5000 sq.ft.)in dormitory.(T25,a-744(a),b-744(b))
<br /> c ❑ 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 sat uard not m ! Eqg in g od, rking rder or are inadequate. (T25,a-756,b-758,
<br /> c-760,d-762,e-764,f-766 -768,h-788,i-790,'-792 Jt O ✓0
<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,o-774) P/I.,lPx
<br /> ❑ 29. Camp lacks adequate heating facilities. (T25,a-800,b-802)
<br /> E] 30. Liquefied petroleum gas tanks inadequate(lack foundation,Improperly located,lack protective barriers,lack minimum clearance,lack"No
<br /> Smokin "si n. ff25,a-806 b-808 c-810 d-812 a-814,f-816).
<br /> + E] 31. Appliances lack proper vent,clearance,or shutoff valve. (T25,a-818,b-820,c-822,d-824,e-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 impropedy located and/or lacks adequate combustion air. (T25,a-836,b-838)
<br /> rEElectrical 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 /> Insufficient vertical clearance for electric wires above roofs(8'),walkways,attachment point of buildings(10'),and driveways.(T25,a-862,b-864)
<br /> Lack of ground of cord-connecting equipment. (T25,a-866,b-868,c870)
<br /> Lack of outlet in habitable room,lack of approved light fixture In bathroom and toilet room. (T25,a-872,b-874)
<br /> Lack of enclosed light fixture over bathtub or in shower compartment. (T25,878)
<br /> 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 /> improper use of extension cords. (T25,a-894,b-896)
<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 /> 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
<br /> M
<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 POST; ❑ISSUE PERMIT TO OCCUPANCY ❑DO NOT ISSUE PER
<br /> Title:
<br /> Received by' I d/��^ i inspacua„.`+y:=!���
<br /> Employee Housing Inspection Notice
<br /> EMD 27-02 2/21/12
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