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SJOAQUIN COUNTY LIC HEALTHAWRVICES <br /> ENVIRONMENTAL HEALTHDIVISW <br /> 445 N SAN JOAQUI , PHONE (209)498-3420 <br /> P ® BOX 2009, STOCKTON, CA 95201 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> ICI SOLID WASTE 0 INFECTIOUS WASTE <br /> COMPUTER N0. <br /> PERMIT NO. <br /> Inspection D <br /> VEHICLES/EQUIPMENT s� � `` <br /> STR. OWER. `remiss A4Grese Recheck Date <br /> 1.REGISTRATION(DMV) ! <br /> 2. SOLID WASTE PERMIT THE,ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT C <br /> 4. IDENTIFICATION <br /> A. Name(4" Height) 'S- V1 °'l <br /> (1" Width) 3 <br /> S.ID Number(4" Height) '7 <br /> (1" Width) <br /> _., C. Lettering both sides 32 1/46,719 L- <br /> 5 CLEANING /& P-1- <br /> 6. <br /> 1 ,6. MAINTENANCE <br /> ^. 7. TAIL GATE SEAL 1 "L e- <br /> & CARRY TUBES 1377 S& 41L3o4o0s <br /> 9. RIDE STEPS 157 Al <br /> 10. BROOM/SHOVEL 2&f.5'61 z- F. L- ` <br /> 11.°ROLL OFF COVERS 7 - <br /> 12. LEAKAGE OR SPILLAGE <br /> CONTAINERS 4 1 r <br /> 14124 <br /> 13. IDENTIFICATION over 1 yd.' r , <br /> 3 / <br /> A. Name <br /> B.Telephone Number564 f <br /> .,r 14. CLEANING e-Ld% <br /> 15. MAINTENANCE c> <br /> A <br /> 16. INSECTS <br /> YARD <br /> —1-- .L <br /> _.. <br /> 17:SANITATION <br /> 18. PARKING <br /> 19, WASH DOWN FACILITIES <br /> ._. 20, HAZARDOUS WASTE STORAGE ut (rte 41 e ` sc ' <br /> TIME/METHOD <br /> n.• -P��t O D <br /> /09 <br /> f 32 'T✓ah <br /> Air OC" <br /> NIT AN REC IVED 4 <br /> EH 08 .01 <br />