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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page a- of <br /> DBA ' INSPECTIQN ATE <br /> roi- <br /> OLID WASTE❑ INFECTIOUS WASTE A/6 s Wit s, G /Vl CCS nG• I I P 12- <br /> Structure operon VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECI)QNDATE <br /> I 1® �crf S Pin �ra c, A iV/A <br /> ❑ 1. Registration(DMV) OWNER/OPERATORHONE <br /> (�►c�n aful u n n i (2d) <br /> ❑ ❑ 2. Solid Waste Permit INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ZZ <br /> ❑ ❑ 3. Infectious Waste Permit 'r&A- I 1 MOSS 11 4� <br /> The items below represent code violations and must be corrected: 1" <br /> ❑ ❑ 4. Identification: L'`L, Gmr�nrS <br /> ❑ ❑ A 4"a <br /> aHeight x 1"Width -7 T 3 Q <br /> q <br /> ❑ ❑ B. ID Number: t ` 1 <br /> 4"Height x 1"Width <br /> ❑ ❑ C. Lettering both sides <br /> ❑ ❑ 5. Cleaning 01 eliian.) n Ace <br /> ❑ ❑ 6. Maintenance <br /> ❑ ❑ 7. Tail Gate Seal <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps <br /> ❑ ❑ 10. Broom/Shovel <br /> ❑ ❑ 11. Roll Off Covers <br /> ❑ ❑ 12. Leakage or Spillage <br /> Structure Operation C O N T A I N E R S <br /> ❑ ❑ 13. Identification over 1 yd <br /> ❑ ❑ A. Name <br /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> structure Operation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RECEI ED I PE TOR <br /> 11 ElTime/Method <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />