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SAN JOAQUINCOLINTY <br /> ENVI ONMENTAL HEALTH DEPARTMEIT <br /> 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 4 of <br /> DBA INSPECTION DATE <br /> OLID WASTE❑ INFECTIOUS WASTE 'EVUC <br /> Structure operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> `1q6 11 Wig <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE <br /> ❑ El2. Solid Waste Permit 1" 1.i I.C l S dq M ®�9 <br /> ®-75,7 <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD,IiD <br /> IRW <br /> 0013 <br /> ❑ [:33. Infectious Waste Permit Tnl ? 1v-®4 4 <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> El 11A. Name: s <br /> 4"Height x 1"Width ALL NIOLAMOM6Q <br /> -RIZECIT-.1) 0M <br /> ❑ ❑ B. ID Number: <br /> 4"Height x 1"Width 19 . A 1Z ' siw5ncaiag <br /> ❑ ❑ C. Lettering both sides V41LL br CO O <br /> N N(3NJFM15LK I q._ <br /> ❑ 5. Cleaning <br /> ❑ ❑ 6. Maintenance <br /> ❑ 7. Tail Gate Seal <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps <br /> ❑ ja 10. Broom/Shovel <br /> ❑ 0 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 /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> Structure operation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RECEIVED BY INSPECTOR <br /> ❑ ❑ Time/Method EMAt L <br /> EHD 44-01 4/12/12 SO WASTE OIR <br />