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Q� L SAN JOAQUIN COUNTY. m <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> w < 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> .: Telephone:(209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ��riFbat'`° LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> ii S=Structure 0=0pe !I <br /> S O /-'-Package Sewage Plant NAME of FACILITY <br /> INSPECTION DATE <br /> 1. cease Tra ,a <br /> 2. Ll PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence locked <br /> 4. Cross <br /> i <br /> 5.odor Connection The items below present health code violations andmust he corrected: i <br /> 6.Vectors <br /> 7. Soil Erosion <br /> u 8.Blower Aerator <br /> 9. Skimmers Clarification <br /> 10. Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds <br /> 14.Excess Sludge u j <br /> 12 15.Slud e Bed <br /> 16.Weeds , c, <br /> 17.Distribution Box <br /> ii 18.Water Level Pits <br /> 19.SoundingTube <br /> 20.Intermittent Dosing <br /> 21.Hazard UnsanitaryCondition (]5'. � �C2.5 � ti !✓L% <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident ,; <br /> 4.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical'Toilets _ <br /> 1.Tank Capacity <br /> F <br /> 2. Storage Site <br /> 3.Disl>osal Site <br /> 4.T e of Chemicals <br /> 5.Unsanitary Condition <br /> i' 6.Doors Self Close/Lockingis <br /> 7.Vector Proof' <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> I� ]10.Additional Area Inside Hand Washin <br /> 11.Lettering Height 3" <br /> S O Pumper TrucksNards <br /> :j <br /> 1.Valid Permit/Registration _ <br /> 2.Pumping RecordsQ <br /> ' 3.Lettering: <br /> Name(3"),Address(3"),Capacity 3" ,i <br /> Registration Number(6") <br /> 4.Truck Tank: L/ <br /> .: Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location ®tT7�etf�rt/ - <br /> I 5.Pumps Sealed i /5� 7izz) C1�16�i -I'c,�pS ,L�l �6 Cl�aibvl� �' 9�°/d Ca. 3 <br /> 6.Hoses: A-Z17 mr! <br /> �. <br /> Pump Hose Adequate PROGRAM Et_E T: = ROGRAM RECORD: <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal <br /> u 8.Yard Sanitation: ECJ t <br /> Sanitary <br /> ,l R.E.H. DATE:Adequate <br />� f 3f11012D052 D 42-0-N6 /�� .clz���.•7C <br /> s <br />