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'o quIH co <br /> SAN a1OAQUIN COUNTY <br /> •G <br /> y., ENVIRONMENTAL HEALTH DEPARTMENT <br /> { 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> Q �P <br /> 9G;POR� <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page_of_ <br /> DBA,-'- INSPECTION DATE <br /> [-1SOLIDWASTE [I INFECTIOUS WASTE Ar 111 s j erg Y,f,rr <br /> Structure Operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR <br /> PHONE <br /> ❑ ❑ 2. Solid Waste Permit <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit ' <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: . '`3 ' �" ` . : t" ✓ `, ' Ae'lre,k <br /> El 11A. Name: <br /> 4"Height x 1"Width ��J i 7C/1 i� /" 4 <br /> ❑ <br /> El 4" <br /> ID Number: /,, <br /> 4"Height x 1"Width 96 k� F L <br /> ❑ ❑ C. Lettering both sides <br /> ❑ f 5. Cleaning % <br /> <.a✓ <br /> ❑ 6. Maintenance 33 it ' ' /" 1 !� /a. {,v i F <br /> Lvs r <br /> 7. Tail Gate Seal .� 7 <br /> y !� <br /> A�^.1r•.Feer'' �,:. .. r .��f <br /> ❑ ❑ 8. Carry Tubes ,• / !`''� /t j - ^.. r , <br /> ❑ ❑ 9. Ride Stepsf� } JCC, <br /> ❑ 10. Broom/Shovel 9 ( 1' 6 o <br /> ❑ ❑ 11. Roll Off Covers / d'' <br /> © 12. Leakage or Spillage <br /> Structure operation C 0 N T A I N E R lyd ", <br /> 7 „j a j� ry /� do��..,,. <br /> ❑ ❑ 13. Identification over 1 "1 <br /> /A. Name '',ark it/�,�`s /7 � �L_ L_.. <br /> ❑ J B. Telephone Number 0 jr i ( } t.� (� C <br /> E] ❑ 14. Cleaning i`r' f 1`-. ! 1"� L� V 4 <br /> 15. Maintenance <br /> A.'u, % ,tr <br /> ❑ ❑ 16. Insects <br /> 4 n .� 3 c•,� f �._.� t C, <br /> Structure Operation Y A R D S0 El ,,r <br /> 17. Sanitation L <br /> 1ro <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> Hazardous Waste Storage RE BY I�NJSP/ECTOR <br /> 20. <br /> El 11Time/Method �. C";! f,./:y {"ra C <br /> EHD 44-01 9/28/07 SOLID WASTE OIR <br />