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SAN JOAQUIN COUNTY <br /> 44 ENr ONMENTAL HEALTH DEPARTAT <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 / of <br /> ❑SOLID WASTE❑ INFECTIOUS WASTE DBA INSPECTION DATE <br /> Structure operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> ❑ 1. Registration(DMV) OWNER/OPERATOR PHONE <br /> i,,\ tP1 y —71 <br /> El El 2. Solid Waste Permit INSPECTION TYPE PROGRAM ELEMENTTOTAL#OF VEHICLES RECORD ID <br /> E] ❑ 3. Infectious Waste Permit l <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: I <br /> ❑ / <br /> A. Name: 41 A', AJvwL <br /> 4"Height x 1"Width 1951&a-5 &1,— <br /> El ❑ H B. ID wA,5 <br /> 4"Height fight x x 1"Width <br /> ❑ ❑ j C. Lettering both sides a,I <br /> ❑ ❑ 5. Cleaningt63t t �.L <br /> ❑ ❑ 6. Maintenance acoo 960609 - �4, <br /> ❑ ❑ 7. Tail Gate Seal 011 a ,-7 <br /> ❑ ❑ 8. Carry Tubes 8"1�o � <br /> E] El 9. Ride Steps d� t ti <br /> ❑ ❑ 10. Broom/Shovel <br /> ❑ ❑ 11. Roll Off Covers *69 L160951 <br /> 06 <br /> ❑ ❑ 12. Leakage or Spillage ®;r -� <br /> Structure Operation C O N T A I N E R S ®f l Jci 5- C <br /> ❑ ❑ 13. Identification over 1 yd 97L-131 <br /> l 190 <br /> j <br /> ❑ ❑ A. Name95D�l t /6 A <br /> mac® <br /> ❑ ❑ B. Telephone Number ` Pt <br /> 015 <br /> ❑ ❑ 14. Cleaning r}®,33 -7 7132-7 9 2— Lrima G <br /> ❑ ❑ 15. Maintenance <br /> i 53 S el <br /> A01ame oI� Jas ~d <br /> ❑ E] 16. Insectsof- <br /> t+c <br /> Structure Operation Y A R D S <br /> ❑ ❑ 17. Sanitation �_l 1 <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities PA LA L6X61 <br /> L <br /> 20.Hazardous Waste Storage RECEIVED i INSPECT <br /> El 1:1Time/Method Z4 L- <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />