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Paul" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-2708 <br /> • c P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: 1 C INSPECTION DATE: 2 5 <br /> PREMISE ADDRESS: /L O\`-L ? O CITY: �l�`C_ _kL ZIP CODE. <br /> OWNER/OPERATOR: J 7 �� TELEPHONE: <br /> \ <br /> PROGRAM ELEMENT: 4 u PROGRAM RECORD: 25(x � INSPECTION TYPE:'?U REINSPECT BY: <br /> V V # Code Section Pumper Trucks/Yards License Plate Number: 10 <br /> 21 <br /> 1 DEV 9-1110.8; VALID PERMIT/REGISTRATION• Registration expires on: 2- 3 I 2 b <br /> HSC 117405 <br /> DEv 9-1110.8; VIN Number: <br /> 2 HSC 117435 MONTHLY PUMPING REPORTS 1� \ <br /> IDENTIFICATION OF VEHICLES: k) y <br /> 3 CSDS(5) a)3":NAME,ADDRESS AND <br /> CAPACITY _- <br /> b)6":REGISTRATION NUMBER ; r`I �j <br /> TANK:HSC 117420 <br /> a)METAL CONSTRUCTION <br /> 4 CSDS(9)(A) b)LEAK PROOF VALVES O <br /> c)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 Pam' <br /> 5 CSDS(9)(B) FREE-OF LEAKAGE,SPILLAGE OR SPLASHING. r G Y(�l <br /> HSC 117420 HOSES: <br /> 6 CSDS(9)(C) a)AVAILABLE AND ADEQUATE. IT rj <br /> b)CLEAN AND WATERTIGHT. <br /> 7 CSDS HSC 17420 RACKS ARE MADE OF METAL I <br /> 8 HSC 117420 YARD: <br /> CSDS(3) a)SANITARY AND ADEQUATE. <br /> CiEmhuCAL 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 <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. Email Monthly Reports to EHWELLANDSEPTICPERMITS@SJGOV.ORG <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 3" <br /> RECEIVED BY'/. G TITLE:W M.0 0 _ V/ DATE: 1'n <br /> REHS: n�cb �k PHONE:2 -619-- SO DATE: n 3 a <br /> V=Violation;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONAL INFORMATION L PAGE:1 OF_ <br /> Revised on 12/13/2024 C:\Users\asalinas\Desktop\Form-Pumper Trucks Official Inspection Report 6 Updated by AS.doc <br />