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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.sigov.org/ehd
<br /> c�LJ�oR`'�P
<br /> S if �� m EMPLOYEE HOUSING INSPECTION NOTICE
<br /> Permanent Year Round (>181 days) ElSeasonal (<_180 days) [:] Temporary DATE:/
<br /> ❑ PRE-OCCUPANCY ffOCCUPANCY ❑ COMPLAINT ❑ NUMBER OF OCCUPANTS:
<br /> ❑ RE-INSPECTION ❑ RE-INSPECTION ❑ POST OCCUPANCY ❑ PERMITTED OCCUPANCY:
<br /> LOCATION: Z�L L f -401 �,� G. P TELEPHONE: G/
<br /> OPERATOR NAM TELEPHONE:
<br /> OPERATOR ADDRESS: i ✓✓ LOG) 2.. -1
<br /> OWNER NAME: '` 6, /
<br /> TELEPHONE:
<br /> OWNER ADDRESS: " CITY:
<br /> CHSC-California Health &Safety 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. (T25, 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, -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-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 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, e-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 box/exposed, 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, e-910)
<br /> COMPLIANCE DATE: ❑ Immediately ❑ Within five (5) days ❑ Within thirty (30) days
<br /> Date Date
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<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: Q Title: Inspection by:fifij�Ze,&) �1��D �,
<br /> EHD 27-02 2/24/12 Employee Housing Inspection Notice
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