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SAN JOAQUIN COUNTY <br /> EW011 ONMENTAL 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 2 of <br /> DBA INSPECTION DATE <br /> V <br /> SOLID WASTE F1INFECTIOUS WASTE t "l q- <br /> Structure Operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> `-I G ✓ <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR If PHONE <br /> c, rr �- —11-114-KI VI 'It a <br /> F1 El 2. Solid Waste Permit INSPECTION TYPE PROGRAM ELEMENT I 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 /> El El 4" <br /> Name: <br /> 4"Height x 1"Width _�L161 ` O <br /> EI El 4" <br /> ID Number: 1 �1 f' Lme .#k wtt3J'1�c� ^` <br /> 4"Height x 1"Width aL�S 3� 6 S. SL <br /> ❑ ❑ C. Lettering both sides �h` <br /> (G0 � 1Rj1 5 /SSL_ <br /> ❑ ❑ 5. Cleaning J <br /> Q IL-13 A S L <br /> ❑ ❑ 6. Maintenance a�153V 91 O O1` <br /> ❑ ❑ 7. Tail Gate Seal <br /> ❑ ❑ 8. Carry Tubes o ' \ �kax¢ *' "tus�"'q� -boll.t 5.•�'—� <br /> ❑ ❑ 9. Ride Steps 1330 a2L1�S��� FL <br /> ❑ ❑ 10. Broom/Shovel a-1 /Cv--7 <br /> EI El 11. Roll Off Covers 1 <br /> ❑ ❑ 12. Leakage or SpillagelLl2�+� 7,,g d,—) g L n n%L— O <br /> Structure Operation C O N T Al N E R S o` J d <br /> S L_ <br /> ❑ ❑ 13. Identification over 1 yd <br /> 21155 <br /> 3�5 � A 2 s <br /> ❑ ❑ A. Name 6 <br /> j J 0 OV <br /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning3'�5 I Ot1� S'L �O n O` 1 l.✓�— <br /> ❑ ❑ 15. Maintenance ✓ 01' covri, gzcos ''Gui✓ <br /> 33s S S LIi a C Ko t <br /> ❑ ❑ 16. Insects a� g 11 ASL o L <br /> Structure Operation Y A R D S 1�f L' —7,5 4 "1 ' 3 S L 0 � , <br /> E] E] -L <br /> 17. Sanitation ,5 '45-095 <br /> 's (, A L �JS © <br /> ❑ ❑ 18. Parking 15 S -�JU r 1 S� •� t�tt�^/v <br /> ❑ ❑ 19. Wash Down Facilities o ..1 <br /> 20.Hazardous Waste Storage RECEI ED INS C <br /> El4LoCr <br /> E] Time/Method 6 6 7 <br /> E H D 44-01 4/12/12 SOLID WASTE OIR <br />