Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> CO. ," `�,:� <br /> '�!!�.:, 600 East Main Street, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> A�1FOR�` <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: 1 v �� C INSPECTION DATE: t� 2 2 <br /> PREMISE ADDRESS: /L DV1 V r O CITY: �� `,�_ n ZIP CODE. J <br /> OWNER/OPERATOR: J � VfxwVk 5 TELEPHONE: <br /> PROGRAM ELEMENT: Lm L PROGRAM RECORD:��ZrJ��k� INSPECTION`TYPE:q v �Qv REINSPECT BY: <br /> V V # Code Section Pumper Trucks/Yards License Plate Number: 10 <br /> E <br /> DEV 9-1110.8; Registration expires on: 31 / <br /> 1 HSC 117405 VALID PERMIT/REGISTRATION' 12, 1 <br /> lr, <br /> 1 <br /> 2 DEV9-1110.8; VIN Number:MONTHLY PUMPING REPORTS V1 <br /> HSC 117435 1► <br /> IDENTIFICATION OF VEHICLES: 'v y <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND <br /> CAPACITY <br /> b)6":REGISTRATION NUMBER ` $�- <br /> ` <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION 0 <br /> 4 CSDS(9)(A) b)LEAK PROOF VALVES <br /> c)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 Pam• <br /> 5 CSDS(9)(B) FREE-OF LEAKAGE,SPILLAGE OR SPLASHING. oomoeirU G V/ <br /> HSC 117420 HOSES: '��+ <br /> 6 CSDS(9)(C) a)AVAILABLE AND ADEQUATE. <br /> \ b)CLEAN AND WATERTIGHT. <br /> HSC 117420- <br /> 7 CSDS(9)(D)' RACKS ARE MADE OF METAL I <br /> 8 HSC 117420 YARD: <br /> CSDS(3) a)SANITARY AND ADEQUATE. <br /> CMMICAL TOII,ETS <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 <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSE,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASILY CLEAN <br /> 9 OWDS 11.1 FLOOR W/URINAL 10 SQ.FT. <br /> OWDS 11.1 FLOOR W/OUT URINAL 8 SQ.FT. MI Email Monthly Reports to EHWELLANDSEPTICPERTS®SJGOV.ORG <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3" <br /> [REC=ErVED BY: TITLE:/fin U)(W v DATE: / IX W lJ <br /> HS: �1c1Gc �i PHONE,n DATE: 23 Zb . <br /> V=Violation;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONALL INFORMATION PAGE:I OF_ <br /> Revised on 12/13/2024 C:\Users\asalinas\Desktop\Form-Pumper Trucks Official Inspection Report 6 Updated by AS.doc <br />