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®P` U11" . o AN JOAQUIN COUNTY <br /> 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 /> LID WASTE OFFICIALINSPECTION REPORT Page_of_ <br /> DBA INSPECTION DATE <br /> ElSOLID WASTE ❑ INFECTIOUS WASTE <br /> Structure operation VEHICLES/EQUIPMENT FACILITY ADDRESS REINSPECTION DATE <br /> ❑ ❑ Registration(DMV) OWNER/OPERATOR PHONE <br /> ❑ ❑ 2. Solid Waste Permit / <br /> INSPECTION TYPE PROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> El E] 3. Infectious Waste Permit <br /> -,L- PAoyyotac) <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ Identification: <br /> ® ® A. Name: 6 <br /> 4"Height x 1"Width <br /> ® 11B. ID Number: <br /> 4"Height x 1"Width <br /> ❑ ❑ Lettering both sides <br /> i <br /> ❑ ❑ 5. Cleaning <br /> ❑ ❑ 6. Maintenance <br /> ❑ ❑ 7. Tail Gate Seal <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps <br /> ❑ ❑ . room/Shovel <br /> ❑ ❑ 11. Roll Off Covers <br /> ❑ ❑ 12. Leakage or Spillage <br /> Structure Operation C O N T A I N E R S <br /> ❑ ❑ 13. Identification over 1 yd <br /> ❑ ❑ A. Name <br /> ❑ ❑ B. Telephone Number <br /> ❑ ❑ 14. Cleaning <br /> ❑ 15. Maintenance <br /> ❑ 16. Insects <br /> Structure Operation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities I <br /> 20.Hazardous Waste Storage RECEIVED INSPE O <br /> ❑ ❑ Time/Method <br /> EHD 44-01 9/28/07 1 SOLID WASTE OI <br />