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r -� <br /> SAMOAOUIN COUNTY PUBLIC HEALTIORVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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. ''A 00 01 ?>Cf PP"4i- OLNO Q ,>C1 <br /> PERMIT NO. P-r OW 3,)S3 <br /> VEHICLES/EQUIPMENT "A °`D`"i°"/Dole <br /> STR. OPER. .�'tvCk% tt S-euv c& ' S Cc- l Z/l�l 0,S <br /> PMfltlN&MM" KMtk <br /> 1. REGISTRATION (DMV) 1 0L f Cj IV Lt v Dr. <br /> 2. SOLID WASTE PERMIT THE IYTEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3, INFECTIOUS WASTE PERMIT Ve/�4p Ve"h Vt'LiSe 20,Nl�lt <br /> r <br /> 4. IDENTIFICATION 7 <br /> �00S�1 % � [,l ,�1� �� ��x4sitya <br /> G <br /> A. Name(4" Height) r 0 U 15"2 /3 34 99 7 FL�D 1OT ( <br /> (1" Width) 0-�3SGI '51:2 S � Awt`D 4t �t LI 1�0.Ck I b <br /> B. ID Number(41 Height)6C`4� /- <br /> (1" Width) 1, I 351 I Z fFL, <br /> C. Lettering both sides r ki n � 7 LIU sl p PLA=W /� 17 <br /> 5 CLEANING 20 �.� /j- 7 �a W &G/5j � 0 Ft- A'D*7,iiC <br /> 67&- <br /> & MAINTENANCE _20 336 0 5�:�/90 LI D FL- <br /> 7. <br /> L <br /> 7. TAIL GATE SEAL 0 .�j 3- % 5K08 5y 0 F <br /> _. a CARRY TUBES )03353 5Zn5*17 r`� t 052 V-7 FL- <br /> � <br /> 9. RIDE STEPS < 4 � qq F L gel . id -RSS Si(�@ <br /> 10. A00M/SHOVEL S o��}d i s ZSCtt� AF od 4&kuakill,7 <br /> S 1 <br /> 11. ROLL OFF COVERfj MRS.S .!� ct0 %21111, <br /> 12. LEAKAGE OR SPILLAGE 09 3 1 k 1 g eoh'" <br /> CONTAINERS pN�T Rte, <br /> 1 a o 7 KI S 7 ,��tc 4 c: h� <br /> 13. IDENTIFICATION over 11 yd'LASE 1" " 1I�FQ`?i;S -f �0 C� <br /> A. Name �Ioa 11� L+P�13&5,� oto DJ Sery,Ice- <br /> _ B. Tolephone Number 1 oq Mp �y�M"L�,�� ^o 0k <br /> 14. CLEANING jw(�Ca�] �. ��C/��7� O V-1- 0� sef-d 1 cz — <br /> 15. MAINTENANCE Tl �b I I r OG% I5ciakA wi0 10 4 r>;s <br /> 16. INSECTS ;6t1�afe � ti ICA 0�5 7K1 3-5iq ovf De -erv,,C. _ — <br /> W (x 9 N n c q� ,; FL- I'045 J-k.I ok � <br /> YARD A2>1g1 C t-35go PL <br /> 17. SANITATION a 00-757 '7SO0r;W O FL 104 S <br /> _ 18. PARKING �/_0�N a.x s'��'g� P� 0^ Y <br /> t9. GNASH DOWN FACILITIES �Q 11493, c L ��rw,/ �L 481 hI 0 11 lenk kodir,1048 7 <br /> 20. HAZARDOUS WASTE STORAGE o~ ` 1 V+ lY W �U <br /> TIME/METH00s_ �� �o-is Id6 <br /> 2,-( 2�7 � 5voIq;z.S PL Lgac'K <br /> Pub.Health.EHD 283 (12/99) ITAR C D BY <br />