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,o a"!" oo SAN JOAQUIN COUNTY <br /> '•c <br /> Q �-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> N, { <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> Cq�I F ORN`P <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page L of DBA ` tlI INSPECTION DATE <br /> [:1 SOLID WASTE ❑ INFECTIOUS WASTE � y C <br /> Structure operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> 73 <br /> �, ✓ <br /> ❑ ❑ 1. Registration(DMV)(1))(--- OWNER/OPERATOR I I PHONE <br /> El 2. Solid Waste Permit L),SA 1 + `l ��� q 11 ' "17 <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit L 9 <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> ❑ ❑ A. 4"Height x 1"Width 1 �j'l q g E- <br /> �I <br /> B. ID Number- <br /> El <br /> El 4"Height x 1"WidthIG6 OF©a13 C L_ <br /> . O <br /> ❑ ❑ C. Lettering both sides -3 O 7 S L Q,WU <br /> ,p O' t RA. 0 <br /> ❑ El 5. Cleaning w1 <br /> 3 D� O 1 61 -1 S L Lr� <br /> ❑ El 6. Maintenance D.1 GF o4B 6cc l -5 1._— v e <br /> 112 311 .v <br /> ❑ ❑ 7. Tail Gate Seal 3 6-16 g g E-` d -S <br /> �t G�.o <br /> ❑ ❑ 8. Carry Tubes /03 9001 D-1 p-S L— <br /> ❑ EI 9. Ride Steps 3 1.0 <br /> ` �` '`� L Itcy o <br /> o <br /> ❑ ❑ 10. Broom/Shovel / �W 44 s L <br /> ❑ ❑ 11. Roll Off CoversGY O <br /> 4 6�t IF 57 <br /> ❑ ❑ 12. Leakage or Spillage 3 /1 <br /> ft E� 9 <br /> Structure operation C O N e <br /> T A I N E R S S l S `l <br /> VIC— <br /> r-1 ❑ 13. Identification over 1 yd 53 <br /> ❑ ❑ A. Name Q g pO v� <br /> / rt•�y o <br /> ❑ ❑ B. Telephone Number - L <br /> h•G.R o <br /> ❑ ❑ 14. Cleaning 411, <br /> -)C d <br /> E] El 15. Maintenance ✓e��l� <br /> 9,11 ,r q3 3 <br /> ❑ ❑ 16. Insects Local c�Ft Ntr3S�t�CLKNj� <br /> IDU 35 � l� 3 - <br /> structure operation YARDS L W143.6� a 1`O Q, �c <br /> ❑ ❑ !l b v LVJ BVI <br /> 17. Sanitation IO `�( � I �Z-- <br /> ❑ ❑ 18. Parking_ �J J �k�ti ��� <br /> 1 0"S ► AsL_ / d <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RE I D B INS TOR <br /> ❑ E] Time/Method � <br /> EHD 44-01 9/28/07 SOLID WASTE OIR <br />