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a EN* SAN JOAQUIN COUNTY <br /> ONMENTAL HEALTH DEPART AT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> •$lise?�iet' <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page 3 of <br /> SDBA INSPECTION DATE <br /> OLID WASTE INFECTIOUS WASTE � LI <br /> Structure Operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> ❑ 1. egistration(DMV) OWNER/OPERATOR K PHONE <br /> ❑ El 2. Solid Waste Permit �/1� �� ` "�� - 7 0- <br /> INSPECTION TYPE PROGRAM ELEMENT ToTAd#OF VEHICLES RECORDID <br /> ❑ ❑ 3. Infectious Waste Permit � O D�U <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> ❑ A. Name: <br /> 4"Height x 1"Width <br /> El El 4" <br /> ID Number: <br /> 4"Height x 1"Width <br /> ❑ ❑ C. Lettering both sides • <br /> ❑ ❑ S. Cleaning t f <br /> o r (cS <br /> ❑ ❑ 6. Maintenance 5� <br /> ❑ ❑ 7. Tail Gate Seal <br /> ❑ ❑ 8. Carry Tubes J <br /> ❑ ❑ 9. Ride Steps <br /> V t 02 <br /> ❑ ❑ 10. Broom/Shovel r� " <br /> ❑ 46611 Off Covers <br /> ❑ ❑ 12. Leakage or Spillage OZ <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 /> N C'z 4tv- <br /> ❑ ❑ 14. Cleaning <br /> ❑ ❑ 15. Maintenance <br /> J t <br /> ❑ ❑ 16. Insects 11 <br /> Cli l O k <br /> Structure operation YARD $ <br /> y <br /> ❑ ❑ 17. Sanitationpalla j _ S`C) C- <br /> El El 18. Parking IL <br /> + rs no G S i <br /> ❑ ❑ 19. Wash Down Facilities 'Ke ` \ &-n c- MG�\- <br /> 20.Hazardous Waste Storage R IVE U INSPE <br /> ❑ ❑ Time/Method <br /> EHD 44-01 4/12/12 j SOLID WASTE OIR <br />