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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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10780
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4200 – Liquid Waste Program
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PR0420088
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COMPLIANCE INFO
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Last modified
11/19/2024 1:56:01 PM
Creation date
8/5/2020 10:05:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0420088
PE
4242
FACILITY_ID
FA0001136
FACILITY_NAME
TAHAMA VILLAGE MOBILE HOME PARK
STREET_NUMBER
10780
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
APN
08607005
CURRENT_STATUS
01
SITE_LOCATION
10780 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\N\HWY 99\10780\PR0420088\INSPECT CORRESPOND.PDF
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EHD - Public
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SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> L%FOR <br /> PUMPER TRUCKSNARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: m INSPECTION DATE: <br /> /Z-yam!2 <br /> PREMISE ADDRESS: g00 Al, CITY: S ZIP CODE: <br /> OWNER/ ERAT TELEPHONE:, 93 — <br /> PROGRAM ELEMENT: `�� PROGRAM RECORD: INSPECTION TYPE: REINSPECT BY: <br /> V RV s Coder Pumper TrucksNards <br /> Section The items below present health code violations and must be corrected: <br /> 1 <br /> WCO-1110.8'. VALID PERMIT/REGISTRATION <br /> HSC 117405 <br /> 2 SJC9-1110.S. MONTHLY PUMPING REPORTS <br /> HSC 117435 <br /> IDENTIFICATION OF VEHICLES: _ <br /> 3 SJLDR(5) a)3 INCH:NAME,ADDRESS AND CAPACITY S7Gu/ <br /> b)61NCH:REGISTRATION NUMBER <br /> TANK: _ <br /> HSC 117420 a)METAL CONSTRUCTION - �� 4C <br /> 4 b)LEAK PROOF VALVES <br /> SJLDR(9)(A) )MANUAL VALVES _ <br /> d)VALVE LOCATION [ <br /> 5 HSC 117420 PUMP: <br /> $JLDR(9)(B) NO LEAKAGE,SPILLAGE OR SPLASHING. < <br /> _ <br /> HSC 117420 HOSES: d C <br /> 6 a)AVAILABLE AND ADEQUATE. <br /> SJLDR(9)Z6) <br /> b)CLEAN AND WATERTIGHT. �- <br /> HSC 117420; <br /> 7 SJL (9)(D) METAL RACKS <br /> DR <br /> 6 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICALTOILETS L 7! <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) 7G <br /> 2 OWDS 11.10 STORAGE SITE _ <br /> 3 OWDS 11.7 DISPOSAL SITE <br /> 4 OWDS 11.6 TYPE OF CHEMICALS / t <br /> i L <br /> 6 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 SMOOTWEASY TO CLEAN JJ)) <br /> 9 OWDS11.1 FLOOR AREA W/URINAL(10 SQ. <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8SQ.FT.) 116 4, !0'=� <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 1 OWDS 11.9 LETTERING HEIGHT 31NCHES <br /> ECEIVED BY: TITL A E: <br /> REHS: PHONE: DA E: <br /> 74 <br /> �Z - <br /> V=Violation; =Repeated Violation SEE REVERSE SIDE FOR ADDITIONAL INFORMATION PAGE:1 OF <br /> EHD 42-020 PUMPER TRUCK OR <br /> 10/16/07 <br />
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