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Q5l�Ir1r SAN JOAQUIN COUNTY , <br /> _ ENVIRONMENTAL HEALTH DEPARTMENT <br /> W. X 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 O peration • <br /> S O Package Sewage Plant NAME OF FACILITY INSPECTION DATE <br /> 1.G ase Traplam/ l�Zd'cI <br /> 2. Lift PREMISE ADDRESS REINSPECTION DATE <br /> 3.Fence Locked <br /> 4.Cross Connection <br /> S.Odor The items below present health code violations and must be corrected: <br /> 6.Vectors , <br /> 7.Soil Erosion -: <br /> 8.Blower Aerator <br /> 9. Skimmers ClarificationlS <br /> 10.Aerator-Color ] <br /> 11.Sludge Return (f r5e �f�j <br /> 12.Effluent Clarity <br /> 13,Polish Ponds <br /> 14.Excess Sludge <br /> 15.Slud a Bed /.✓C.L Z�IsUC <br /> 16.Weeds <br /> 17,Distribution Box <br /> 18.Water Level Pits <br /> 19.Sounding Tube cz�L <br /> 20.Intermittent Dosing <br /> 21.Hazard Unsanitn Condition <br /> 22.Yard/E ui ment Maintenance <br /> 23.Failure Evident <br /> 24.Monitorin 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 <br /> 6.Doors Self Close/Locking/ <br /> 7.Vector Proof Imo✓ <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 Trucks/Yards <br /> I.Valid Permit/Registration <br /> 2.Pumping Records <br /> 3.Lettering: <br /> Name(Y),Address(Y),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 C <br /> 7.Racks-Meta] <br /> RECEIVED BY: r ATE: Lr l 0 a 7 <br /> 8, Yard Sanitation: <br /> Sanitary R.E.H.S DATE: / <br /> Adequate <br /> !/ ' <br /> EHD 42-02-006 /f f /f f 0��o 6 q <br /> 3/108005 J p�# � �--{' <br /> (.0 l / tL�-- 2YviL1 <br />