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SAN JOAQUIN COUNTY <br /> �c EN�RONMENTAL HEALTH DEPARTMENT <br /> 14 304 East Weber Avenue, 3`d 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 O=Operation <br /> S 101 Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1.Grease Trap <br /> 2. Lift Pum PREMISE ADDRESS REIN EC N 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 /> 8.Blower Aerator <br /> 9.Skimmers Clarification 9 S <br /> 10.Aerator-Color <br /> 11.Sludge Retum -5 16 2 <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14,Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds <br /> 17.Distribution Box d k- <br /> 18.Water Level Pits <br /> 19.Sounding Tube Gcr' <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident "4te ' <br /> 24.Monitoring Report <br /> 25.Monitoring Well Platten <br /> S O Chemical Toilets <br /> 1.Tank Capacity 6. D 19 <br /> 2.Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 7V2 2- <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof - Lf-4 2- <br /> 8. <br /> 8. Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrina1 8 sq.ft. <br /> 10.Additional Area Inside Hand WashingC ' <br /> 11.Lettering Height 3" <br /> S O Pum er Trucks/Yards .` <br /> 1.Valid PermitlRe istration <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(3"),Address(Y),Ca aci 3") <br /> Re istration Number(6" <br /> 4.Truck Tank: ►` <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location <br /> S.Pum s Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: 4/Z y PROGRAM RECORD: �/� 4.�Z 0c, 1 <br /> Cleaning Hose Adequate <br /> r K <br /> 7.Racks-Metal RECEIVED BY: f DATE: 3 /p <br /> 8.Yard Sanitation: i <br /> Sanitary <br /> R.E.H.S. 01 .� DATE: <br /> Adequate <br /> EHE 42-02-006 <br /> 311012005 <br />