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<br /> oP"VAN c SAN JOAQUIN COUNTY
<br /> :z ENVIRONMENTAL HEALTH DEPARTMENT
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<br /> 1868 East Hazelton Avenue, Stockton, CA 95205
<br /> _ Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.s*gov.org/ehd
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<br /> EMPLOYEE HOUSING INSPECTION NOTICE
<br /> ID#39- IAP Permanent Year Round(>181 days) ❑ Seasonal (:5180 days) ❑ Temporary DATE: 5/ Z iZ:!�
<br /> ❑ PRE-OCCUPANCY OCCUPANCY ❑COMPLAINT NUMBER OF OCCUPANTS:
<br /> ❑RE-INSPECTION ❑RE-INSPECTION ❑POST OCCUPANCY OCPERMITTED OCCUPANCY:
<br /> LOCATION: 114L-4-,t?11-f/ 4 CITY: CAMP TELEPHONE:
<br /> OPERATOR NAME: TELEPHONE: Y-
<br /> OPERATOR ADDRESS: CITY: 'Z
<br /> OWNERNAME: Zv O//✓!d-� Pri TELEPHONE:
<br /> OWNER ADDRESS: O,64 CITY: t n
<br /> CHSC-Califorrnia Health&Safety Code; T25-Title 25 California Code of Regulations; T24-Title•24 Califomle Code,of Re ulations:
<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 /> F-] 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 /> gL 12. Building and grounds are not maintained in a clean and sanitary condition. (T25,a-704, b-710) �j�lLtf7�,w ,✓�!/ rrC+w` n!�
<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 /> ❑
<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,L816).
<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-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(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-866,b-868,c-870)
<br /> E] 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 ❑Within thirty(30)days
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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 WATE OTICE POSTED ❑UNS O OCCUPY NOTICE POSTED ❑ ISSUE PERMIT TO OCCUPANCY ❑DO NOT ISSUE PERMIT
<br /> Received by: Ti ` i. Inspection by: e��_
<br /> EHD 27-02 2/24/12 Employee Housing Inspection Notice
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