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PO SAN rTOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />Q: a <br />N? 600 East Main Street, Stockton, CA 95202-2708 <br />• c.P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />y�FOR� <br />PUMPER TRUCKSIYARDS & CHEMICAL TOILETS <br />OFFICIAL INSPECTION REPORT <br />NAME OF FACILITY: MASoV <br />1 „ 1 J INSPECTION DATE: I I Z y <br />PREMISE ADDRESS: , J �T � CITY: D prt�4 1+C*- ZIP CODE: <br />OWNER / OPERATOR: �0 � ` N,4 TELEPHONE: <br />PROGRAM ELEMENT: l , Z PROGRAM' `REECOORRD: INSPECTION TYPE f o A T REINSPECT BY: <br />V <br />R <br /># <br />Code Section <br />Pumper Trucks / Yards <br />���� ` <br />_�.� �s <br />`- Q Q <br />/ <br />PIA <br />I <br />DEv 9-1110.8; <br />VALID PERMIT / REGISTRATION <br />V v� <br />HSC 117405 <br />V <br />� - <br />2 <br />DEV 9-1110.8; <br />MONTHLY PUMPING REPORTS <br />HSC 117435 <br />IDENTIFICATION OF VEHICLES: ' <br />3 <br />CSDS (5) <br />a) 3": NAME, ADDRESS AND <br />CAPACITY <br />b) 6": REGISTRATION NUMBER <br />TANK: <br />HSC 117420 <br />a) METAL CONSTRUCTION <br />4 <br />CSDS (9)(A) <br />b) LEAK PROOF VALVES <br />C) MANUAL VALVES <br />d) VALVE LOCATION <br />5 <br />HSC 117420 <br />Puw' <br />FREE OF LEAKAGE, SPILLAGE OR <br />CSDS (9)(13) <br />SPLASHING. <br />HSC 117420 <br />HOSES: <br />6 <br />CSDS(9)(C) <br />a) AVAILABLE AND ADEQUATE. <br />b) CLEAN AND WATERTIGHT. <br />7 <br />HSC 117420; <br />RACKS ARE MADE OF METAL <br />CSDS (9)(D) <br />HSC 117420 <br />YARD: <br />8 <br />CSDS (3) <br />a) SANITARY AND ADEQUATE. <br />CHEMICAL TOILETS <br />1 <br />OWDS 11.5 <br />TANK CAPACITY (40 GALLON MIN.) <br />2 <br />OWDS 11.10 <br />STORAGE SITE <br />3 <br />OWDS 11.7 <br />DISPOSAL SITE <br />4 <br />OWDS 11.6 <br />TYPE OF CHEMICALS <br />5 <br />OWDS 11.8 <br />UNSANITARY CONDITION <br />6 <br />DS 11.4 <br />OWWS <br />DOORS SELF CLOSE, LOCKABLE <br />7 <br />OD11.2 <br />VECTORPROOF <br />8 <br />OWDS 11.3 <br />SURFACES SMOOTH/EASILY CLEAN <br />9 <br />OWDS 11.1 <br />FLOOR W/URINAL 10 SQ. FT. <br />OWDS 11.1 <br />FLOOR W/OUT URINAL 8 SQ. FT. <br />10 <br />OWDS 11.1 <br />SUFFICIENT SPACE. <br />I1 <br />OWDS 11.9 <br />LETTERING HEIGHT 3 " <br />0" <br />11. <br />���� ` <br />_�.� �s <br />`- Q Q <br />/ <br />PIA <br />V v� <br />V <br />� - <br />RgPt Cr f��' <br />V=Violation; RV =Repeated Violation <br />SEE REVISE SIDE FOR ADDITIONAL INFORMATION <br />PAGE: 1 OF <br />Revised on 11/22/2021 U:\Unit-II\Liquid Waste\Form - Pumper Trucks Official Inspection Report - fINAL.doc <br />���� ` <br />_�.� �s <br />• <br />/ <br />PIA <br />V=Violation; RV =Repeated Violation <br />SEE REVISE SIDE FOR ADDITIONAL INFORMATION <br />PAGE: 1 OF <br />Revised on 11/22/2021 U:\Unit-II\Liquid Waste\Form - Pumper Trucks Official Inspection Report - fINAL.doc <br />