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SAN JOAQUIN COUNTY <br /> EARONMENTAL HEALTH DEPARTMENT� <br /> � <br /> :c 304 East Weber Avenue, 3dFloor, 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 O Packa a Sewa a Plan NAME OF FACILITY INSPECTION DATE <br /> Grease Tr <br /> 2.� um PREMISE ADDRESS REINSPECTION DATE <br /> 3,Fence Locked / i 77 <br /> 4.Cross Connection <br /> 5.Odor The items below present health code violations and must be corrected: <br /> 6.Vectors <br /> 7, Soil Erosion �/�L7 - <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification n1✓ZC�V . �Gtv LS <br /> 10.Aerator-Color <br /> 11.SIud a Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14.Excess Sludge <br /> 15.Sludge Bed - c r <br /> zdc�3 / CG <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube t is l - - r _ / <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitoring WellQ Ce L _ G> <br /> t. S O Chemical Toilets <br /> 1.Tank Eapacity <br /> 2.Storage Site <br /> 3.Disposal Site7�r?-/�l�J•v/J j <br /> 4.Type of Chemicals <br /> 5,Unsanitary Condition - <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof CA-0(f4 - - <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 WashingijfiLj4 <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards X-'0 Cno6W S Z� <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(3"),Address(3"),Capacity( 3" <br /> Registration Number(6") <br /> 4.Truck Tank: 7L <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6.Hoses: &V2-1A436-0 <br /> Pump Hose Adequate PROGRAM ELEMENT: i /� PROGRAM RECORD: <br /> Cleaning Hose Adequate T CJ <br /> 7.Racks-Metal RECEIVED BY: DATE: / <br /> 8.Yard Sanitation: <br /> Sanitary <br /> R.E.H.S. DATE: 23 / <br /> Adequate G <br /> z <br /> AllOY2005P.57/6e4%&4ze-C 7&" Aue-c'r'Y . <br />