Laserfiche WebLink
a�gt4!!nr SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> +ter 304 East Weber Avenue, 3r1 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 =Operation <br /> S O Package Sewage Pla t, NAME OF FACILITY INSPECTION DATE <br /> 1.Gr Tra a� <br /> 2. Lift Pum PREMISE ADDRESS <br /> REINSPECTION DATE <br /> 3.Fence Locked <br /> 4.Cross Connection The items belresent health code violations and must be corrected: <br /> 5.Odor ow P <br /> 6.Vectors , ) <br /> 7.Soil Erosion - 7Q <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification <br /> 10.Aerator-Color <br /> 11. Sludge Return <br /> 12.Effluent Clarity ' 7 <br /> 13.Polish Ponds zz <br /> 14.Excess Slud e <br /> 15.Sludge Bedr� <br /> 16. Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits _ <br /> 19.Sounding Tube -k-' <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident �V <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition �y <br /> 6.Doors Self Close/Locking � <br /> 7.Vector Proof <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. 1 <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washin X <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards f <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: �- ) <br /> Name 3" ,Address 3" ,Ca aci 3" 5 <br /> Registration Number(6") _ <br /> 4.Truck Tank: � �_ .�fG4-7ze <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-Meta! V RECEIVED BY'. DATE: <br /> 8. Yard Sanitation: <br /> Sanitary <br /> R.E.H.S DATE: <br /> Adequate <br /> END 42-62-0,06 <br /> 3![6!2005 <br />