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SANPJ0A0UIN a <br /> Environmental Health Department <br /> " COUNTY <br /> gtlFod� Greatness grows here. <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: i (/^ r e— -rG'nt Z� // 1, <br /> �� INSPECTION DATE: I <br /> PREMISE ADDRESS: Q' c� Q �1,�� `/l J CITY: O 1j,, ZIP CODE: <br /> OWNER/OPERATOR: ( �+J � riyTELEPHONE: <br /> PROGRAM ELEMENT:I/r��v �`L6P"RC)OGRAM RECORD:-MOSO/L Ij�3 OESjIcNI TTE: 1 � REINSPECTBY: <br /> V RV # ((Co((de < 77 Pumper TrucksNards TThe items below present health code violations and must be corrected: <br /> Section <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION OI,, <br /> HSC 117405 0 � N1 e4' ei <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> 3 SJLDR(5) IDENTIFICATION OF VEHICLES: <br /> a)3 INCH:NAME,ADDRESS AND CAPACITY <br /> b)6 INCH:REGISTRATION NUMBER <br /> • 3 ao aflc� y <br /> TANK: <br /> HSC 117420 <br /> 4 a)METAL CONSTRUCTION <br /> 1 <br /> SJLDR(9)(A) b)LEAK PROOF VALVES O e� S N /'O D�/ <br /> C)MANUAL VALVES <br /> d VALVE LOCATION <br /> HSC 117420 <br /> 5 SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. Cjh�I l G <br /> _,Ie-t, <br /> 6 <br /> HSC 117420 HOSES: m ext- tv �4 1'0 1-0" <br /> SJLDR(9)(C) a)AVAILABLE AND ADEQUATE. /� (C 0.M <br /> b CLEAN AND WATERTIGHT. • `/ M <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <br /> 8 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS • p <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) C ' ,[w r` G C or <br /> 2 OWDS 11.10 STORAGE SITE <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION Ain <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE <br /> 7 OWDS 11.2 VECTOR PROOF ` <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN <br /> 9 OWDS 11.1 FLOOR AREA W/URINAL(10 SO.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 So.FT.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LVTE7G HEIGHT 3 INCHESL E="= <br /> / <br /> RECEIVED BY: p` TITLE: DATE: Z <br /> REHS: / � (� ,` PHONE: _,Q s 4 — 7� DATE: (� <br /> V=Violation; RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />