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Rcx4!t^! <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`6 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 0=0 ation <br /> S O (Package Sewage Pla NAME OF FACILITY INSPECTION DATE <br /> 1.Grea Akdg* 46 Z / f1 //`e'- <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 <br /> 7. Soil Erosion <br /> S.Blower Aerator - <br /> 9. Skimmers Clarification <br /> 10. Aerator-Color <br /> 11.Sludge Return /1rL� d%/a <br /> 12.Effluent Clarity <br /> 13.Polish Ponds ely7� /ll2STG`� G / / =� jP <br /> 14.Excess Sludge <br /> 15.Sludge Bedlic+� <br /> -16.Weeds r <br /> 17.Distribution-Box <br /> 18.Water Levet Pits <br /> 19.Sounding Tube <br /> 20. Intermittent Dosin <br /> 21. Hazard Unsanitary Condition' <br /> 22.Yard/E ui ment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets _ <br /> i <br /> 1.Tank Capacity <br /> 2. Storage Site / <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7,Vector Proof scg'6c <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 <br /> 11.Uttering Height 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Letterin : <br /> Name 3" ,Address(3"),Capacity 3" G' �172�3'-11760- <br /> Re istration Number 6" <br /> 4.Truck Tank: ;? 74 -U/S .6e770d�ef e-Ceie <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location <br /> 5.Pum2s Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal <br /> ECEIVED BY: ATE: <br /> 8.Yard Sanitation: <br /> Sanitary <br /> R.E.H.S - DATE: <br /> Adequate <br /> EHD 42-02-DD6 <br /> 3nnnoo5 <br />