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'QPqulw c® SAN JOAQUINTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> iP Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIALINSPECTION REPORT Page of_ <br /> ❑ SOLID WASTE [3 INFECTIOUS WASTE DBA INSPECTION DATE <br /> C <br /> Structure operation VEHICLES/EQUIPMENT FACILITYADDRESS REINSPECTION DATE <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE <br /> ❑ ❑ 2. Solid Waste Permit C <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> ® ® A. Name: <br /> 4"Height x 1"Width C- q- > <br /> ❑ ® B. ID Number: <br /> 4"Height x 1"Width <br /> ❑ ❑ C. Lettering both sides <br /> ❑ ❑ 5. Cleaning <br /> ❑ ❑ 6. Maintenance <br /> f <br /> ❑ 7. Tail Gate Seal I <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps <br /> ❑ ❑ 10. Bro ovel <br /> ❑ ❑ 11. Roll Off Covers <br /> ❑ 12. Leakage or Spillage <br /> Structure Operation CONTAINERS ` <br /> ❑ ❑ 13. Identification over 1 yd �/Tfv 9-40V <br /> dLac <br /> ❑ ❑ A. Name <br /> ❑ ' B. Telephone Number <br /> a <br /> r-1 ID 14. Cleaning , <br /> t <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects C7. <br /> Structure Operation Y A R D S <br /> El Z] 17. Sanitation <br /> 4.❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RECEIVE BY INSPE OR <br /> ® ® Time/Method <br /> EHD 44-01 9/28/07 SOLID WASTE OIR <br />