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• N. JOAQUIN COUNTY PUBLIC HEAT_ ERVICES <br /> ENVIRONMENTAL HEALTH LSI ON <br /> 304 EAST WEBER AVENUE, 3RD FLOOR <br /> STOCKTON, CALIFORNIA 95202 <br /> WASTE MANAGEMENT/SOLID WASTE INSPECTION FORM <br /> C SOLID WASTE C INFECTIOUS WASTE <br /> COMPUTER NO. <br /> PERMIT NO. <br /> °`' i�.o.a o'N <br /> VEHICLES/EGIUIPMENT <br /> STR. OPER. �L I b k <br /> Promise AddressRKfMC G�11 <br /> _ — 1. REGISTRATION (DMV) r- t I(-, � r � <br /> 2. SOLID WASTE PERMIT THE ITEMS BELLOW REPRESENT,00 �VIOLATIONS AND MUST BE CORRECTED: <br /> 3, INFECTIOUS WASTE PERMIT -194V <br /> 4. IDENTIFICATION ' L <br /> A. Name(4" Height) I= Sw <br /> (1" Width) <br /> B. ONmbe <br /> I u ( <br /> _ Number Height) <br /> 0" Width) .== 1 :tt�^11-7q �L <br /> C. Lettering both sides _jam -2'3!j6' �4-Z5773 <br /> ��f,��1 4+C: ��.. <br /> S CLEANING 2nn(: .21 ""# 5' / 3,� ! <br /> _. 6. MAINTENANCE <br /> 7. TAIL GATE SEAL 2 (`DC7 f-411"' <br /> B. CARRY TUBES 15 Q e L�— <br /> 9. RIDE STEPS 2 kl--63 iLky <br /> _ — 10. BROOM/SHOVEL <br /> 11. ROLL OFF COVERS - <br /> 12. LEAKAGE OR SPILLAGE �,.`�[� 1��� r'J K o, _ L) �L <br /> CONTAINERSl07 'tC�GZ!-1j--- <br /> 13. IDENTIFICATION over 1 yd.3 <br /> A. Name <br /> _ B. Telephone Number2 � (y_�a <br /> 14. CLEANING L- ���-27 <br /> � (/��" <br /> _ 15. MAINTENANCE <br /> 16. INSECTS — 464 fell <br /> YARD <br /> 17. SANITATION <br /> 18. PARKING <br /> 19. WASH DOWN FACILITIES <br /> 20. HAZARDOUS WASTE STORAGE <br /> TIME/METHOD <br /> Pub.Health-EHD 283 (12/99) �sMiTARi,Q. RECEIVED BY <br />