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• � ^�` SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL 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 /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: s INSPECTION DATE: <br /> PREMISE ADDRESS: _ + CITY: ZIP CODE: V <br /> OWNER/OPERATOR: ELEPHONE: <br /> iy]G l -GW,3 0`32-?-/ <br /> PROGRAM ELEMENT: PROGRAM RECORD: INSPECTION TYPE: REINSPECT BY: <br /> V RV # Code Pumper Trucks/Yards <br /> Section The Items below present health code violations and must be corrected: <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION <br /> HSC 117405 <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> IDENTIFICATION OF VEHICLES: I <br /> 3 SJLDR(5) a)31NCH:NAME,ADDRESS AND CAPACITY A <br /> b)61NCH:REGISTRATION NUMBER _ <br /> TANK: <br /> HSC 117420 a)METAL CONSTRUCTION <br /> 4 SJLDR(9)(A) b)LEAK PROOF VALVES <br /> C)MANUAL VALVES — ,./ <br /> d)VALVE LOCATION <br /> 5 HSC 117420 PUMP: <br /> SJLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. _ <br /> HosEs: <br /> 6 HSC 117420 a)AVAILABLE AND ADEQUATE. <br /> SJLDR(9)(C) b)CLEAN AND WATERTIGHT. N/ <br /> ,. <br /> HSC 117420; <br /> 7 SJLDR(9)(D) METAL RACKS <br /> 6 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) ,` ) <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 <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 S0.FT.) <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SO.F7.) <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 31NCHES <br /> RECEIVED BY: TITLE('1Y-11V vr 1r <br /> REHS: - PHON�c116// DATE: I / <br /> V=Violatio ,RV=Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42 20 PUMPER TRUCK OIR <br /> 4/24/12 <br />