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a �1"r a SAN JOAQUIN COUNTY ' /�� 0i <br /> �`� ' EIvRONMENTAL HEALTH DEPARTM�'E�T <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/chd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S--Structure 0=0 ation <br /> S 01 tackage Sewage Plan NAME OF FACILITY INSPECTION DATE <br /> 1.Grease <br /> 2.Lift Pump PREMISE ADDRES'S/ 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 7iA GC�f�' <br /> 8.Blower Aerator <br /> 9.Skimmers Clarification - <br /> 10.Aerator-Color <br /> 11.Sludge Return ri to !S J <br /> 12.Effluent Clari <br /> 13.Polish Ponds .� <br /> 14.Excess Sludge <br /> 15.Sludge Bed COO ZWZ---5 � <br /> 16.Weeds - <br /> 17.Distribution Box ePL <br /> 18.Water Level Pits <br /> 19.Sounding Tube <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition - P C <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident A> 111 <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets _ <br /> 1.Tank Capacity <br /> 2.Storage Site _ <br /> 3.Dis sal Site ! / <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition / Zih21 11�5 <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof cTc52-LCIS !S 90W,2, 47- MK-.- <br /> 8. <br /> M -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.Lettering Height 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(3"),Address(Y),Capacity 3" <br /> Registration Number(6") <br /> 4.Truck Tank: <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 i <br /> CEIYED BY: <br /> 8.Yard Sanitation: <br /> Sanitary R.E.H.S. DATE: <br /> Ade nate <br /> r EHD 42-02-006 <br /> 3/1012005 <br />