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'Cl LIIN <br /> off' SAN JOAQUIN COUNTY <br /> 5 •s� .oG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:wwwsjgov.org/ehd <br /> CgCiFOR��P <br /> PUMPER TRUCKSIYARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> F <br /> OF FACILITY: (I•Y S'� for�'t-0S INSPECTION DATE:E ADDRESS: � CITY: ZIP CODE:R/OPERATOR: bee TELEPHONE: <br /> PROGRAM ELEMENT: g7tq/ PROGRAM RECORD: 2 INSPECTION TYPE: 2,,,A,e REINSPECT BY: <br /> 7DEv9-1110.8- <br /> de Section Pumper Trucks/Yards o f�-�`...L -meµ ti`� <br /> VALID PERMIT/REGISTRATION <br /> C 117405 <br /> 2 DEv 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 — --- <br /> IDENTIFICATION OF VEHICLES: _ .. <br /> 3 CSDS(5) a) A NAME,ADDRESS AND C <br /> CAPACITY <br /> b)6":REGISTRATIONNUMBER <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 CSDS(9)(A) b)LEAK PROOF VALVES - — <br /> c)MANUAL VALVES <br /> d)VALVE LOCATION — -- <br /> Hsc 117420 PUMI�: � � �u, e w 1 a. L� � (�K'�"�� r ► 2-3�� 2 S <br /> 5 CSDS(9)(B) FREE OF LEAKAGE,SPILLAGE OR <br /> SPLASHING. <br /> HSC 117420 HOSES: �4 P, u p't"a( q� W x S 5b <br /> 6 CSDS 17420 a)AVAn ABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. O <br /> 7 HSC 117420; RACKS ARE MADE OF METAL <br /> CSDS(9)(D) '�T-Tt O d o{ <br /> a HSC 117420 YARD: a i <br /> CSDS(3) a)SANITARY AND ADEQUATE. p� <br /> CHEMICAL Tomas V GJ <br /> 1 OWDS11.5 TANK CAPACITY(40GALLONMIN.) L/ <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITIONZS <br /> 6 OWDS 11.4 DOORS SELF-CLOSE,LOCKABLE zo V <br /> 7 OWDS 11.2 VECTOR PROOF - <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASILY CLEAN <br /> 9 OWDS 11.1 FLOOR W/URINAL 10 SQ.FT. — <br /> OWDS 11.1• FLOOR W/OUT URINAL 8 SQ.FT. <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3" <br /> RECEIVED BY: TITLE: DATE: <br /> REHS: AfL �J ,/�� PHONE: 9^ //�3d!� DATE: <br /> V=Violktion;RV=Repeated Violation /1 �r SEE REVISE SIDE FOR ADDITIONAL INFORMATION PAGE:I OF_ <br /> Revised on 12/13/2024 PMORMS DIRECTORY\UNTT 2\LIQUM WASTE PROGRAM\OLD FORMS\Form-Pumper Trucks Off <br />