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11I <br /> SAN .JO I LINTY <br /> ENVI ONMENTAL HEALTH DEPARTM T <br /> y 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page 3 of <br /> OLID WASTE❑ INFECTIOUS WASTE DBA INSPECTION DATE <br /> Rf_'PU'9L1c_ i CL.S 10111 lo <br /> structure op.-ion VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> 11q6 W. Cl4&TZfMZ " i <br /> ❑ ❑ 1. Registration(DMV) OWNERIOPERATOR PHONE <br /> ❑ ❑ 2. Solid Waste Permit <br /> "ZLPU Lfc 6r_- V-%11C1=_ 5 S a09-547 ®75A <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#JO®F>VEHICLES RECORDID <br /> ❑ <br /> El 3. Infectious Waste Permit o U Tt N C —` v Li11400 I <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> ❑ ❑ A. Name: , <br /> 4"Height x 1"Width <br /> ❑ <br /> El 4" <br /> ID Number: <br /> 4"Height x 1"Width <br /> ❑ ❑ C. Lettering both sides _ , L <br /> e <br /> ❑ 5. Cleaning <br /> L <br /> ❑ ❑ 6. Maintenance <br /> ❑ 7. Tail Gate Seal <br /> �EIAIICLE <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps <br /> ❑ X 10. Broom/Shovel <br /> ❑ 11. Roll Off Covers _ L <br /> ❑ 12. Leakage or Spillage <br /> Structure operation C O N T A I N E R S <br /> ❑ ❑ 13. Identification over 1 yd L <br /> ❑ ❑ A. Name REPAIR&MU �}. L <br /> -S Ohl 16011A NJEJAICLF-6- <br /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning - # L <br /> ❑ ❑ 15. Maintenance XUAll-k- OR. 1M.PLAKE 1"L <br /> A A 1 <br /> ❑ ❑ 16. Insects <br /> structure operetron Y A R D S 3343r <br /> ❑ ❑ 17. Sanitation t A. <br /> ❑ ❑ 18. Parking At <br /> ❑ ❑ 19. Wash Down Facilities <br /> ❑ El 20.Hazardous Waste Storage RECEIVED BY INSPECTOR <br /> Time/Method t <br /> ESOLID WASTE OIR <br /> HD 44-01 4/12/12 <br />