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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> { 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax. (209)464-0138 Web: www.sjgov.org/chd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure O=Operation <br /> S 101 Package Sewage Plant NAME OF FACILITY INSPECTIqM DAT <br /> Et <br /> 1.Grease Trap 1: Y- <br /> F y a068 <br /> 2. Lift Pump PREMISE ADDRESS REIN PECT N DATE <br /> 3.Fence Locked ,Bow <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors <br /> 7.Soil Erosion ►� �-� <br /> 8.Blower Aerator <br /> 9.Skimmers Clarification <br /> 10.Aerator-Color / <br /> 11.Slud a Return <br /> 12.Effluent Clarity / <br /> 13.Polish Ponds i ` w <br /> 14.Excess Slud a r, [� <br /> 15.Sludge Bed v` V.`&_. Q.5 <br /> 16.Weeds r <br /> 17.Disfribution Box 1� <br /> 18.Water Level Pits Q <br /> 19.Sounding Tube �[~ • �" t� <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition . ertT <br /> 22.Yard/Equipment Maintenance <br /> 23,Failure Evident ril� al <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets m 1 _ <br /> 1.Tank Capacityb > <br /> 2. Stora a Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals ww � . . <br /> 5.Unsanitary Condition lV pn AQAXAk- <br /> 6.Doors Self Close/Locking1 <br /> 7.Vector Proof <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor wlUrinal 10 sq,ft. 1r"1 <br /> Floor WoUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing fl 2 <br /> 11.Lettering Hei ht 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records '" e <br /> 3.Lettering: <br /> Name(Y),Address(Y),Capacity 3' J <br /> Registration Number 6" <br /> 4.Truck Tank: 77 1 <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location C,4 fnAKC�a <br /> 5.Pumps Sealed <br /> 6.Hoses: ;;ss�� <br /> Pum Hose Adequate PROGRAM ELEMENT: �1 L�� PROGRAM RECORD: YK r, lti hYrl <br /> Cleaning Hose Adequate 9 r 1, O k0P <br /> 7.Racks-Metal RECEIVED BY: DArE: <br /> ►w_ all <br /> 8.Yard Sanitation: <br /> r r 1. 1 <br /> Sanitary R.E.H.S. TE: <br /> Adequate \0. Vul5 <br /> EHD 42-02-006 <br /> 3/10/2005 <br />