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SAN JOA UIN LOCAL HEALT&ISTRICT <br /> 1601 E. HAZELTON AVENUE, P. O. F3VW2009 <br /> STOCKTON, CA 95201 - PHONE: (209) 468.3424 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> C SOLID WASTE Q INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO. <br /> SA Inspection Date <br /> VEHICLES/EQUIPMENT C I SWn. C I'l // 7)9 <br /> STR. OPER. Premise Address c Rechec Date <br /> 1. REGISTRATION (DMV) ,,k-. L,' I L,S^I/IJ. WLj <br /> 2. SOLID WASTE PERMIT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. INFECTIOUS WASTE PERMIT ['� 14 1) .5~(cJ p 0 <br /> 4. IDENTIFICATION <br /> A, Name(4" Height) � <br /> (1" Width) f �IL' <br /> B. ID Number(4" Height) Itj ? <br /> 0" Width) 1 .7 8 <br /> �•7 J <br /> C, Lettering both sides f�.5 / <br /> 5. CLEANING — <br /> 6. MAINTENANCE . - f ra y 9 <br /> 7. TAIL GATE SEAL 332 n <br /> 8. CARRY TUBES 3 ' <br /> 9. RIDE STEPS / ^/ <br /> 10. BROOM/SHOVEL f — 0Y <br /> 11, ROIL OFF COVERS l l C �U <br /> 12, LEAKAGE OR SPILLAGE I _ �+ 0 21 <br /> CONTAINERS — 3/ SI 2g G <br /> 13. IDENTIFICATION over 1 yd.3 ) U AL 8 <br /> A. Name <br /> B. Telephone Number <br /> 14. CLEANING <br /> 15, MAINTENANCE <br /> 16,INSECTS <br /> YARD <br /> 17. SANITATION <br /> 1$. PARKING <br /> Oft, iAS /3oxPs art 61qm6&�eticlpvj <br /> 19:WASH DAWN FACILITIES / <br /> tytLA/ 1 b*Ac-,l'J/ion �CGul Gtrg IjActal Wej <br /> 20. HAZARDOUS WASTE STORAGEI / / <br /> TIME/METHOD e 4 +ke ae nvat In i4 oa U Con,t i o <br /> ITARIAN EIVED BY <br /> EH 08 01 .. <br />