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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM$�T <br /> 304 East Weber Avenue, P Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure - peration <br /> S O Packa a Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1. reasc Trap ' - ✓ �� <br /> 2.Lift P-um-p PREmisE ADDRESS c� REINSPECTION DATE <br /> RE <br /> 3.Fence Locked +4D // .L �/ <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> �l 6.Vectors cn ) <br /> 7.Soil Erosion `" i 1 <br /> t€: 8.Blower Aerator <br /> 9.Skimmers Clarification ✓` < � <br /> 10.Aerator-Color <br /> 11.Sludge Return <br /> 12.El <br /> 13.Poolishish P Pondndss <br /> 14.Excess Slud e / <br /> 15.Sludge Bed XQSsIN <br /> 16,Weeds <br /> I 17.Distribution Box <br /> i' 18.Water Level Pits <br /> 19,Sounding Tube c� <br /> 20.Intermittent Dosing Z lG � <br /> 21.Hazard UnsanitaryCondition # J <br /> I <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident ' � <br /> 24.Monitoring Re rt / <br /> 25.Monitoring Well <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Dis sal Site -7' <br /> 4.Type of Chemicals <br /> 5.Unsanitary Condition <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8.Surfaces Smooth/Easily Clean <br /> 9_Floor w/Urinal I0 sq.fl. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Hei ht 3" J <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Purnping Records Zt222 <br /> 3.Lettering: <br /> Name(Y),Address(3"),Capacity 3" <br /> Registration Number(6") <br /> 4.Truck Tank: <br /> Metal Construction <br /> Leak Proof Valves �V r <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed 12 <br /> 6.Hoses: <br /> Pum Hose Adequate PROGRAM ELEME PROGRAM RECORD: <br /> Cleaning Hose Adequate <br /> 7.Racks-Metal �RECEnrE a 7DATE <br /> 8. Yard Sanitation: <br /> Sanitary R.E.H. DATE: <br /> Adequate <br /> ��7 <br /> EHD 42-02-006 <br /> !± 371072005 /`��-mss"5/ � "'•-w`.' ! �, /� /- L��y <br />