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SAN JOAQUIN COUNTY <br /> o - ENVIRONMENTAL,HEs4LTH DEPARTAMT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> µ'• t Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page ,2 of <br /> OLID WASTE ElINFECTIOUS WASTE DBA INSPECTION DATE <br /> Structure Operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> I <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE <br /> ❑ ❑ 2. Solid Waste Permit I - C- - <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit f 7® a 1 '8 <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> El ❑ A. Name: <br /> 4"Height x 1"Width _ - L # <br /> ❑ ElB. ID Number: <br /> 4"Height x 1"Width <br /> ❑ ❑ C. Lettering both sides l # f q <br /> ❑ ❑ 5. Cleaning <br /> I - <br /> ❑ ❑ 6. Maintenance <br /> ❑ ❑ 7. Tail Gate Seal _ # <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps - # I �} <br /> ❑ ❑ 10. Broom/Shovel <br /> L <br /> ❑ ❑ 11. Roll Off Covers <br /> ❑ ❑ 12. Leakage or Spillage _ � # <br /> Structure Operation C O N T A I N E R S <br /> ❑ ❑ 13. Identification over 1 yd <br /> ❑ ❑ A. Name � <br /> L <br /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance v tx <br /> ❑ ❑ 16. Insects # # <br /> Structure Operation Y A R D S # <br /> 31434 <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RECEI BY INSPECTOR <br /> El1:1 Time/Method IFMA 1% <br /> iIIIJ— <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />