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SAN J0QQUIN Environmental Health Department <br /> _ <;,'L j 1',1 T Y <br /> Chemical Toilets 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 PR0547031 <br /> Inspection Contact: Title: Phone: <br /> ) -Ins0 - <br /> Inspection <br /> pection Type: Program: <br /> ROUTINE INSPECTION - Operating Permit 4255 -CHEMICAL TOILETS <br /> OWDS=San Joaquin County Onsite Wastewater Disposal Standards V=Violation R=Repeat violation COS=Corrected on site during inspection <br /> Violations <br /> 1 OWDS 11.5 Tank capacity(40 gallon minimum) ❑V ❑R ❑COS <br /> 2 OWDS 11.10 Storage site ❑V ❑R ❑COS <br /> 3 OWDS 11.7 Disposal site ❑V ❑R ❑COS <br /> 4 OWDS 11.6 Type of chemicals ❑V ❑R ❑COS <br /> 5 OWDS 11.8 Unsanitary condition ❑V ❑R ❑COS <br /> 6 OWDS 11.4 Doors self closing, lockable ❑V ❑R ❑COS <br /> 7 OWDS 11.2 Vector proof ❑V ❑R ❑COS <br /> 8 OWDS 11.3 Surfaces smooth/easy to clean ❑V ❑R ❑COS <br /> 9 OWDS 11.1 Floor area with urinal(10 sq ft) ❑V ❑R ❑COS <br /> 10 OWDS 11.1 Floor area without urinal(8 sq ft) ❑V ❑R ❑COS <br /> 11 OWDS 11.1 Sufficient space ❑V ❑R ❑COS <br /> 12 OWDS 11.9 Lettering height 3 inches ❑V ❑R ❑COS <br /> Observations and Corrective Actions <br /> Item# Remarks <br /> Overall Inspection Comments <br /> COMMENTS <br /> routine inspection for the portable toilets. I looked in a few of the units and they were clean and ready to use. No odors <br /> observed. <br /> Okay to issue permit to operate for the portable toilets for 2024. <br /> 1 observed a pump truck here that we don't have a record of. <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 PR0547031 SCO01 12/29/2023 <br /> EHD 42-21 Rev.04/07/2022 Page 1 of 1 Chemical Toilets OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />