Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 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 /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> } S--Structure _ peration <br /> S O Package Sewage Pla NAME OF FACILITY INSPECTION DATE <br /> ase Trap ,LD ' <br /> 2.Lift Pump PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked �. <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors / r <br /> 7.Soil Erosion 1 <br /> 8.Blower Aerator <br /> 9.Skimmers Clarifications <br /> 10.Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds !i LL LG-GGC)-� iGtrJ//✓��G �' CJv �v lrC� <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds <br /> 17.Distribution Box - / �� lC. Com/4!5, <br /> 18.Water Level Pits <br /> 19.Sounding Tube0 5 <br /> 20.Intermittent Dosing ! / <br /> 21.Hazard Unsanitary Condition P / 1Nv / GlrtC3 <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident 6 42/ <br /> 24.Monitoring Re ort <br /> 25.Monitoring Well L11 c <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.T e of Chemicals L <br /> 5,UnsanitaryCondition /W-I� <br /> 6.Doors Self Close/Locking_ <br /> 7.Vector Proof /� <br /> 8.Surfaces Smooth/EasilyClean <br /> 9.Floor wlUrinal 10 sq.ft. &) <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Height 3" <br /> S 10 Pumper Trucks/Yards l--a?v <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records [�e�tJ zze'wo . <br /> 3.Lettering: <br /> Name 3',Address(3"),Capacity 3" -11-2 1 <br /> Registration Number(6") <br /> 4.Truck Tank: G <br /> Metal Construction <br /> Leak Proof Valves /, <br /> Manual Valves &Ken�? Z1+c�S <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6. Hoses: 3 9i7 Imt Z67j <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: 31�, <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal h <br /> 8.Yard Sanitation: RECEIVED BY: ATE: �Q V(9 <br /> Sanitary R.E.H.S. DATE: i <br /> Ade nate <br /> 310nWs2- <br /> 1 <br /> 5POle <br />