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4 <br /> QVINI o SAN JOAQUIN COUNTY ' <br /> o <br /> �:• }�� ENVIRONMENTAL HEALTH DEPARTMENT <br /> c 304 East Weber Avenue, 3r0 Floor, Stockton, CA 95202-2708 <br /> r. Telephone. (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> R <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> io <br /> S=Structure 0=0perati <br /> S O acka a Sewage Plan NAME OF FACILITY INSPECTION DATE <br /> 1.Grea S�l rG 7/� /YI l 2. - . CJS <br /> 2.Lift Pump PREMISE ADDRESS q REINSPECTION DATE <br /> 3.Fence Locked <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors <br /> 7. Soil Erosion <br /> dl S.Blower Aerator <br /> a 9. Skimmers Clarification �/ ���11'- Cir7s7 <br /> =1: <br /> 10. Aerator-Color « <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> i 13.Polish Ponds Y�lC� ' �✓ <br /> 14.Excess Sludge <br /> 15.Sludge Bed ��fYICf S <br /> 16.Weeds <br /> 17.Distribution Box CCJlZ�3 /rL� �- Gd <br /> 18.Water Level Pits <br /> t" 19.Sounding Tube <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition `> P "Xf7 <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitorinz Well <br /> S O Chemical Toilets r <br /> 1.Tank Capacity 64,tt � <br /> 2.Storage Site <br /> ii 3.Disposal Site e--'46 <br /> /YJ/ic <br /> 4.Type of Chemicals r� / �' <br /> 5.UnsanitaryCondition s /e CL �/ � `�`'�- d. <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof '�Lr <br /> 8. Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Height 3" <br /> S O Pumper TruckslYards <br /> 1.Valid Permit/Registration <br /> 2.PumpingRecords <br /> 3. Lettering: _ <br /> Name 3" ,Address 3" ,Ca aci 3" <br /> Re istration Number 6") <br /> 4.Truck Tank: /,J 6e %' <br /> Metal Construction <br /> Leak Proof Valves % / F <br /> Manual Valves <br /> Valve Location <br /> t 5.Pumps Sealed <br /> 6.Hoses: 3) G�=i2/ ']1�e✓ �/ <br /> Pump Hose Adequate PROGRAM ELEME PROGRAM RECORD: , <br /> CleaningHose Adequate <br /> 7.Racks-Metal RECEIVE PATE: <br /> 8.Yard Sanitation: 7 <br /> Sanitary R.E.II.S DATE: lZ - <br /> Adequate <br /> Hn 42-02-oov >,�/ - 7Y)tjLSCl�#fo <br /> onoos 12 !ie ' OV el!' <br /> !,x/1''7 <br />