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oPa'1,1N' 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 /> ��rF ORS\ <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS <br /> OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: ABC <br /> G w",rxe_ e L, / INSPECTION DATE: J_.g <br /> PREMISE ADDRESS: !� C. CITY: / . ZIP CODE: K <br /> 32Z A/I9 O <br /> 1.a <br /> ,QTR/OPERATOR: �+y►N'� TELEPHONE: <br /> PROGRAM ELEMENT:'/ <br /> �J PROGRAM RECORD: !_f NCTION TYP REINSPECT BY: <br /> V # Code Section Pumper Trucks/Yards <br /> 1 DEV 9-1110.8; VALID PERMIT/REGISTRATION ��a'1 k 144 V&MPA" 37 <br /> HSC 117405 / <br /> 2 DEV 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 Tr��� <br /> IDENTIFICATION OF VEHICLES: r Ilea <br /> -< <br /> CSDS(5) a)3":NAME,ADDRESS AIND ��n y L X00 II&w <br /> CAPACITY <br /> b)6":REGISTRATION NUMBER <br /> TANK: �t <br /> HSC 117420 a)METAL CONSTRUCTION —Lem n/fi 5?� �/L•t <br /> 4 CSDS(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES <br /> d)VALVE LOCATION <br /> HSC 117420 Pte' <br /> 5 CSDS(9)(B) FREE OF LEAKAGE,SPILLAGE OR ^1� • M ' <br /> SPLASHING. <br /> HSC 117420 HOSES: voe %/-Ook. �3 <br /> 6 CSDS(9)(C) a)AVAILABLE AND ADEQUATE. <br /> b)CLEAN AND WATERTIGHT. � �. �' � ,. �j` lAcf✓C Ga...�W <br /> 7 HSC 117420; RACKS ARE MADE OF METAL <br /> CSDS(9)(D) <br /> 8 HSC 117420 YARD: Aa =� �� Z� • <br /> CSDS(3) a)SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS 11.10 STORAGE SITE <br /> It <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. <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 O S 11.9 LETTERING HEIGHT 3" <br /> REC 4 TITLE: ON ee DATE:/ r r 2 <br /> RENS: PHONE: DATE: `J <br /> 2 -� 3 / <br /> V=Violation;RV=Repeated Violation SEE REVISE SIDE FOR ADDITIONAL INFORMATION PAGE:I OF_ <br /> Revised on 12/5/2023 P:\Unit II\Liquid Waste\Form-Pumper Trucks Official Inspection Report-fINAL.doc <br />