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i <br /> SAN JO COUNTY <br /> ENV ONMENTAL HEALTH DEPARTM <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> °.4 Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page-L—of <br /> DBA INSPECTION DATE <br /> OLID WASTE❑ INFECTIOUS WASTE 'RF-Pup 10111 fig <br /> Structure Operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> 111-15 W. 11 l !I <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE <br /> 2. Solid Waste Permit <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit <br /> —2-0`1 r`N E I qqbt4 1 7 ?ROTI 001 <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: f <br /> ❑ ❑ A. Name: <br /> 4"Height x 1"Width 1 <br /> ❑ ❑ B. ID Number: <br /> 4"Height x 1"Width 1 F L e <br /> ❑ ❑ C. Lettering both sides 1 OK <br /> ❑ 5. Cleaning 1331 ` -' F <br /> ❑ ❑ 6. Maintenance <br /> ❑ 7. Tail Gate Seal 1 F <br /> ❑ ❑ 8. Carry Tubes 3353 776201C <br /> ❑ ❑ 9. Ride Steps <br /> ❑ 10. Broom/Shovel 3343 .1 <br /> ❑ 11. Roll Off Covers 335.5 7 <br /> ❑ 12. Leakage or Spillage i RD 0`c <br /> Structure Operation C O N T A I N E R S L G/-r R <br /> ❑ ❑ 13. Identification over 1 yd I F L 0 1 <br /> ❑ I ❑ A. Name 1334 <br /> �1 r4 4190131 F L <br /> El ElB. Telephone Number L OK <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance O1 <br /> SS <br /> ❑ ❑ 16. Insects 2 q,3 9EIIIS5802 5L <br /> SAM s L <br /> Structure Operation Y A R D S 33571 1914 T � <br /> ❑ ❑ 17. Sanitation ` - MULTtPLE TCARS <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities 2474 1 1 51— <br /> 20.Hazardous Waste Storage RECEIVED BY INSPECTOR <br /> ❑ <br /> El LLD- <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />