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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a 304 East Weber Avenue, 3`a Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd <br /> �{Ciksie�'xP LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure O-0 <br /> S O P <br /> ackage Sewage PI NAME OF FACILITY INSPECTION RATE <br /> N-.0-lease Trap [ �_ `^�� ` <br /> 2. Lift PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fencd <br /> 4.Crosction The items below present health code violations and must be corrected: <br /> 5.Odo <br /> 6.Vect <br /> 7. Soil �^1f� 9 <✓ `� <br /> 8.Blowor9.Skimarification10.Aeralor <br /> 1 I.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish.Ponds fj - <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds <br /> 17.Distribution Box ,�klll 0 -,71, <br /> 18.Water Level Pits <br /> 19.Sounding Tube <br /> 20. Intermittent Dosing " <br /> 21.Hazard Unsanitary Condition <br /> 22. Yard/E ui ment Maintenance <br /> 23.Failure Evident <br /> 24.Monitor-in Report <br /> 25.Monitoring Well / <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site ' <br /> 4.T e of Chemicals <br /> S.Unsanita Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8.Surfaces Smooth/Easily Clean r <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing 4: `2i <br /> l I.Lettering Height 3" <br /> S O Pumper Trucks/Vards 3� rt �� 7j��7[ ``^'d �� S <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records (� t A -7 <br /> a 3.Letterin : <br /> Name(3") Address(Y),Ca aci 3' 1. ��. r /(,�r..�e:�y <br /> Re istration Number 6") <br /> 4,Truck Tank: AK4 <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal <br /> EGEIVED 8Y: ATE: & <br /> 8. Yard Sanitation: <br /> SanitaryLIR.E.H.S. DATE: <br /> Adequate ,� L <br /> F14D 42-02-006 <br /> 1110/2005 <br />