Laserfiche WebLink
0�4141IN SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM NT <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/ehd <br /> LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structure -Operation <br /> S 01 Package Sewage PI t OF FACILITY INSPECTION DATE <br /> .r2.Lift Pum [NAME <br /> REMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked , <br /> 4.Cross Connection The items below resent health code violations and must be corrected: <br /> 5.Odor P <br /> 6.Vectors <br /> 7. Soil Erosion <br /> 8.Blower Aerator <br /> 9. Skimmers Clarification <br /> 10. Aerator--Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13.Polish Ponds !i✓ � j�iyjd� <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitary Condition <br /> 22.Yard/Equipment Maintenance <br /> 23.Failure EvidentGrcll CC�CJ'rl�L/E +fl CcZ <br /> 24.Monitoring Report <br /> 25.Monitoring Well 5 / (L - z5e4le 9ln-m <br /> S O Chemical Toilets <br /> 1.Tank Capacity <br /> 2.Storage Site <br /> 3.Disposal Site /ol? <br /> 4.Type of Chemicals <br /> 5.Unsanitary Conditionk z� <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor w/Urinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq,fL <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Hei ht 3" <br /> S O Pumper Trucks/Yards <br /> 1.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: <br /> ?dame(Y),Address(3"),Capacity 3" <br /> Registration Number(6") <br /> 4.Truck Tank: <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 ECEIV BY: DATE: <br /> 8.Yard Sanitation: <br /> Sanitary R.E.H.S DATE. <br /> Adequate <br /> EHD 42-02-006 <br /> 3/10/2005 <br />