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I <br /> -47 <br /> SAN JOAQUIN COUNTY <br /> �� � •.c - <br /> �`� 'Ac ENVIRONMENTAL HEALTH DEPARTMENT <br /> wr� { 304 East Weber Avenue, 3`'Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S-Structure0= ration - <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION GATE <br /> 1. ra <br /> 2. Lift Pump PREMISE ADDRESS REINSPECTION DATE <br /> 3,Fence Locked <br /> 4.Cross Connection The items below present health code violations and trust be corrected: <br /> 5.Odor <br /> 6.Vectors r <br /> 7, Soil Erosion ' • <br /> 8.Blower.Aerator ` <br /> 9.Skimmers Clarification <br /> 10.Aerator-Color ` <br /> 11. Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds SCJ ` <br /> 14.Excess Sludge <br /> 15.Sludge Bed !?S <br /> 16.Weeds ! <br /> 17.Distribution Box <br /> 18.Water Level Pits r `` <br /> 19.Sounding Tube ) �sZ <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Re- rt !" <br /> 25.Monitorin Wel] <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2. Storage Site �J ' <br /> 3.Disposal Site - C-Ge .��/ 4W- <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition y` «37 fr / ,/0 <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8. Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. ' <br /> Floor w/oUrinal 8 sq.ft.- - <br /> 10.Additional Area Inside Hand Washing / GL <br /> 11.Lettering Height 3" / <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration / <br /> 2.Pumping Records 2 U G <br /> 3.Lettering: <br /> Name(Y),Address(Y),Capacity 3" <br /> Registration Number 6" <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves • // _ <br /> Valve Location <br /> 5.Pum s.Sealed <br /> 6.Hoses:'. <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RecoRD; <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal RIrcEIVED BY: DATE: o �/ <br /> 8.Yard Sanitation: <br /> Lij Sanitary <br /> R.E.H. DATE: <br /> Adequate <br /> EHE 42-02-006 <br /> 3110/2005 <br /> ;E <br />