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SAN JOAQUIN COUNTY <br /> i4g 'Q*4-,, <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/ehd <br /> 4101 �1'v� LIQUID WASTE OFFICIAL INSPECTION REPORT <br /> S=Structureeration <br /> S O Package Sewage Plant NAME OF FACILITY �/f_ INSPECTION DATE <br /> 1.Grease Trap ' -~ Ilk W -' <br /> Pum PREMISE ADDRESS 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 L <br /> 8.Blower Aerator _ <br /> 9. Skimmers Clarification <br /> 10. Aerator-Color <br /> 11.Sludge Return <br /> 12.Effluent Clarity <br /> 13,Polish Ponds �G�S <br /> 14.Excess Sludge <br /> 15.Sludge Bed <br /> 16.Weeds <br /> 17.Distribution Box <br /> 18.Water Level Pits J ' <br /> 19.Sounding Tube <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanit2a Condition -• G� <br /> 22.Yard/E ui ment Maintenance <br /> 23,Failure Evident a <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 <br /> 5.Unsanitary Condition C� d✓ <br /> i <br /> 6.Doors Self Close/Locking <br /> 7.Vector Proof '- <br /> 8.Surfaces Smooth/Easily Clean <br /> 9.Floor wfUrinal 10 sq.ft. <br /> Floor w/oUrinal 8 sq.ft. <br /> 10.Additional Area Inside Hand Washing <br /> 11.Lettering Height 3" <br /> S 10 1 Pumper Trucks/Yards <br /> 1,Valid Permit/Registration <br /> 2. urnping Records <br /> 3.Lettering: <br /> Name(3"j,Address(3"),Capacity 3" <br /> Re istration 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: �T <br /> Cleaning Hose Adequate <br /> 7.Racks-Meta] RECEIVED DAT>F: 6 <br /> 8.Yard Sanitation: <br /> Sanitary.. R.E.H. DATE: <br /> Adequate <br /> EHD 42-02-006 <br /> 3/1012005 <br />