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1 _ _ <br /> 4t'Rf�, <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/chd <br /> �4r �'�� LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure 0=0perafion <br /> S O Package Sewage Plant NAME of FACILITY INSPECTION DATE <br /> 1.Gre a <br /> 2.Lift Pump PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked z' <br /> 4.Cross Connection The items below present health code violations and must be corrected: <br /> 5.Odor <br /> 6.Vectors ,nom <br /> 7. Soil Erosion -� <br /> 8.Blower Aerator <br /> 9.Skimmers Clarification ��L� elf <br /> 10.Aerator-Color f <br /> 11.Sludge Return 1 <br /> 12.Effluent Clarity _ <br /> 13.Polish Ponds <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube vd / = G .•t� <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure Evident <br /> 24.Monitoring Report <br /> 25.Monitoring Well <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2. Storage Site <br /> 3.Disposal Site <br /> 4.Type of Chemicals /n" / <br /> 5.UnsanitaryCondition ei- J APE'7 "/amu `� <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8. Surfaces Smooth/Easily Clean <br /> 9.Floor wlUrinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand WashingS <br /> 11.Lettering Height 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration. _ <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name 3" ,Address(3"),CaPacity3" <br /> Re istration Number(6") <br /> 4.Truck Tank: 1t/Q �� •U�t�� <br /> Metal Construction <br /> Leak Proof Valves <br /> Manual Valves <br /> Valve Location <br /> 5.Pumps Sealed <br /> 6.Hoses: <br /> Pump Hose Adequate PROGRAM ELEMENT: PROGRAM RECORD: <br /> Cleaning Hose Adequate ��� <br /> 7.Racks-Metal <br /> � ECEIVED DATE: <br /> S.Yard Sanitation; <br /> Sanitary R.E.H. <br /> DATE: <br /> Ade <br /> Ade nate <br /> EHD42-02-006 <br /> 3/10/2005 <br /> �e�s <br /> l Sr*fir✓ a.� 1 <br />