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SAN JOAQUIN COUNTY <br /> N, o� <br /> —err 2{ ENVIRONMENTAL HEALTH DEPARTMENT <br /> ;. 600 East Main Street, Stockton, CA 95202-2708 <br /> ...,__;.•.;P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> q�IFORa` <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILTTY: a PU Yv\ 1 n S 6 INSPECTION DATE: <br /> PREMISE ADDRESS: />•� /� V ; CITY: M OVA n_ ,ZIP CODE: (pC 2\�b45 _ <br /> OWNER I OPERATOR: r�I XJrVj n ; ; 1 , TELEPHONE: <br /> : "1 J <br /> PRbr <br /> OGRAM ELEMENT: t_�•L�1 1 PROGI�-RAM RECORD: ,L��(�45(Y-INSPECTION TYPE:�M I R SPECT BY: <br /> [7� <br /> de Section Pumper Trucks/Yards u -f r v� l.' r I C <br /> 9-1110.8; VALID PERMIT/REGISTRATIONC 117405 <br /> 9-1110.8; MONTHLYPUMPINGREPORTS U � SOUSC 117435 f' <br /> IDENTIFICATION OF VEHICLES: A O r EX i (-a ✓� lib <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND 01 � <br /> CAPACITY a +--.-- <br /> b)6":REGISTRATION NUMBER <br /> TANK: —— <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 CSDS(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> ice: <br /> xsc 11 <br /> 5 CSDS 7474zo 20 FREE OF LEAKAGE,SPILLAGE OR <br /> SPLASHING. <br /> HSC 117420 HosEs: <br /> 6 CSDS(9)(C) a)AVAILABLE AND ADEQUATE. — <br /> b)CLEAN AND WATERTIGHT. <br /> 7 HSC 117420; RACKS ARE MADE OF METAL <br /> CSDS(9)(D) <br /> e HSC 117420 YARD: <br /> CSDS(3) a)SANITARY AND ADEQUATE. —"— --- — <br /> CHEmcAL TOILETS -- -- <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN) <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS _ �t !] n rM i �- Q y (�5 3) �, <br /> 5 OWDS11.8 UNSANITARY CONDITION v <br /> 6 OWDS 11.4 DOORS SELF-CLOSE,LOCKABLE Ok l On A � l �o <br /> , Ir <br /> 7 OWDS 11.2 VECTOR PROOF (��q <br /> I I 1� <br /> 8 OWDS 11.3 SURFACES SMOOTHBASILY CLEAN `n <br /> n <br /> 9 OWDS 11.1 FLOOR W/URINAL 10 SQ.FT. �+� n (ZeDocef(Lim b <br /> OWDS 11.1 FLOOR w/OUT URINAL 8 SQ.FT. r T T <br /> Q,1Q NI C <br /> 10 OWDS 11.1 SUFFICIENT SPACE. UZ e 1v� �LG q2�62S <br /> lI OWDS 11.9 LETTERING HEIGHT 3" �YYIC.� �(�\\�Y� �C eCM\ S� V\jb o� <br /> RECEIVED BY: TITLE' DATE: <br /> me <br /> Is: /\ a ` S PHONE:n r��_ 6 16- 3 o i DATE: 2-6 <br /> V=Violatiloon;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONAL L INFORMATION PAGE:1 OF_ <br /> Revised on 12/13/2022 PAUnit IN.iquid Waste\Form-Pumper Trucks Official Inspection Report-fINAL.doc <br />