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S Q N J O A Q U I N Environmental Health Department <br /> LUPJIY <br /> Pumper Trucks/Yards Inspection Report <br /> Facility Name: Date: <br /> SANTIBANEZ AGRICULTURAL SERVICES INC December 29, 2023 <br /> Facility Address: Facility Phone: Program Record: <br /> 23300 N KENNEFICK RD, ACAMPO, CA 95220 (209) 810-8986 PR0547030 <br /> Inspection Contact: Title: Phone:1 <br /> ) -Ins0 - <br /> Inspection <br /> pection Type: Program: <br /> ROUTINE INSPECTION -Operating Permit 4246 - PUMPER YARD <br /> HSC=Health and Safety Code SJO=San Joaquin County Ordinance Code SJLH=San Joaquin County Local Health District Regulations <br /> V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 HSC 117405; SJO Valid permit/registration ❑V ❑R ❑COS <br /> 9-605.040 <br /> 2 HSC 117435; SJO Monthly pumping reports ❑V ❑R ❑COS <br /> 9-605.040 <br /> 3 SJLH 5 Identification of vehicles ❑V ❑R ❑COS <br /> 4 HSC 117420; SJLH(9) Tank construction and valves ❑V ❑R ❑COS <br /> (A) <br /> 5 HSC 117420; SJLH(9) Pump leakage,spillage or splashing ❑V ❑R ❑COS <br /> (B) <br /> 6 HSC 117420;SJLH(9) Hoses available,adequate,clean and watertight ❑V ❑R ❑COS <br /> (C) <br /> 7 HSC 117420;SJLH(9) Metal racks ❑V ❑R ❑COS <br /> (D) <br /> 8 HSC 117420; SJLH(3) Yard is sanitary and adequate ::i V ❑R ❑COS <br /> Observations and Corrective Actions <br /> Item # Remarks <br /> Overall Inspection Comments <br /> COMMENTS <br /> Inspection for the pumper yard. The yard is clean, there is a pump truck stored here and I can find the program record for the <br /> pump truck. <br /> Okay to issue permit to operate the pump yard for 2024 <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: December 29, 2023 Inspector: Inspector Phone: <br /> Printed Name and Title: AARON GOODERHAM, REHS (209)616-3062 <br /> unable to obtain signature, <br /> FA0026657 PR0547030 SCO01 12/29/2023 <br /> EHD 42-20 Rev.04/07/2022 Page 1 of 1 Pumper TrucksNards OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />