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<br /> o.quln.. � SAN.JOAQUIN COUNTY 1 �"
<br /> ENVIRONMENTAL HEALTH DEPARTMENT 1 0�j�
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<br /> 1868 East Hazelton Avenue,Stockton,CA 95205
<br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:wvvw.siaov.ora/ehd
<br /> EMPLOYEE HOUSING INSPECTION NOTICE ��pQ,�
<br /> ID#39- ❑ Permanent Year Round(>181 days) P(Seasonal(5180 days) [I Temporary
<br /> DATE:
<br /> PRE-OCCUPANCY [-]OCCUPANCY ❑COMPLAINT ❑NUMBER OF OCCUPANTS:
<br /> ❑RE-INSPECTION ❑RE-INSPECTION ❑POST OCCUPANCY PERMITTED OCCUPANCY:
<br /> LOCATION: 4 ' CRY: C CAMP TELEPH0 E:
<br /> OPERATOR NAME: LLGV TELEPHONE'
<br /> OPERATORADDRESS: 0 CITY: Cr
<br /> OWNER NAME: -cl�D/I/ TELEPHONE:
<br /> OWNERADDRESS: 401 Er ILC CITY: (G
<br /> CHSC--California Health&Safety Code; T25-Title 25 California Code of Regulations; T24-Title 24 Celifomle Code of Regulations
<br /> NOTICE OF VIOLATION-The items checked below are violations to be corrected:
<br /> ❑ 1. Camp lacks permit to operate for current calendar year. (CHSC 17030(a))
<br /> ❑ 2. Bilingual Notice not posted in conspicuous place in camp. (T25,a-624,b-625)
<br /> ❑ 3. No responsible person assigned by operator to maintain the camp building and area. (CHSC 17038)
<br /> ❑ 4. Name,address,and telephone number of a responsible person to maintain labor camp not posted If not residing on premises. (T25,627)
<br /> ❑ 5. Application for a permit to operate not made at least 45 days prior to date of initial occupancy in current calendar year.(T25,631)
<br /> ❑ 6. Camp is in violation of the permitted occupancy requirements. (T25,631)
<br /> ❑ 7. Heater not installed in shower room. (T25,655)
<br /> ❑ 8. Openable windows not provided with Insect screening in habitable rooms. (T25,728a)
<br /> ❑ 9. Solid doors or screen doors not provided with self-closing device. (T25,728b)
<br /> ❑ 10. Camp area not free of depression in which water can stand. (T25,700)
<br /> ❑ 11. Domestic animals and poultry running at large In camp area. (T25,702)
<br /> ❑ 12. Building and grounds are not maintained in a clean and sanitary condition. (T25,a-704,b-710)
<br /> ❑ 13. Building and other housing are not identified with letters or numbers at least 3'high. (T25,712)
<br /> ❑ 14. Habitable rooms and sleeping areas lack sufficient window area and/or lack required openable area. (T24,1203.4)
<br /> ❑ 15. Hallways,stairways,and exit ways(except in single family dwellings)lack adequate lighting. (1-24,1001)
<br /> ❑ 16. Escape or rescue windows are of Insufficient size or height. (T24,1018)
<br /> ❑ 17. Rooms or areas for sleeping more than one person lack 50 square feet of floor area for each occupant. (1-25,724)
<br /> ❑ 18. Bed frames are rusty,deteriorated,or unsanitary. (T25,732(x))
<br /> ❑ 19. Bedding provided by camp operator Is soiled,deteriorated,or unsanitary. (1`25,732(b))
<br /> ❑ 20. Kitchen and/or mess hall being used for sleeping purposes. (T25,734)
<br /> ❑ 21. Kitchen and mess hall not maintained in a clean and sanitary condition. (T25,a-736,b-738,c-740)
<br /> ❑ 22. Inadequate storage and removal of refuse and garbage.(T25,742)
<br /> ❑ 23. Lack offinadequate approved B/C-fire extinguisher in mess hall kitchen and/or Class A(every 5000 sq.ft.)In dormitory.(T25,a-744(x),b-744(b))
<br /> ❑ 24. Lack of or inadequate smoke detectors. (CH&SC 13113.7)
<br /> ❑ 25. Articles or materials being maintained on premises creating a fire hazard. (T25,746)
<br /> flPlumbing system,fixtures,equipment,devices,and safeguards not maintained in good working order or are inadequate. (T25,a-756,b-758,
<br /> c-760,d-762 a-764 f-766, -768 h-788,1-790 -792Sewage disposal system failing. (T25,a-784,b-786,0.792)
<br /> Water supply not fit for domestic use. (T25,a-770,b-772,c-774)
<br /> Camp lacks adequate heating facilities. (T25,x-800,b-802)
<br /> Liquefied petroleum gas tanks inadequate(lack foundation,improperly located,lack protective barriers,lack minimum clearance,lack'No
<br /> Smoking"sign). 5 a-806 b-808,c-810 d-812,a-814 f-816).❑ 31. Appliances lack proper vent,clearance,or shut-off valve. (T25,a-818,b$20,c 822,d 824,a-828,f 828,8 830,h-632)
<br /> ❑ 32. Water heater lacks temperature-pressure relief valve,and/or improperly plumbed to outside of building. (T25,834)
<br /> ❑ 33. Water heater improperly located and/or lacks adequate combustion air. (T25,a-836,b-838)
<br /> ❑ 34. Electrical system Improperly,grounded,fused,or protected,or not maintained in a safe working order. (T25,a-850,b-852,0-854,d-858,a-860)
<br /> ❑ 35. Insufficient vertical clearance for electric wires above roofs(8'),walkways,attachment point of buildings(10'),and driveways.(T25,a-862,b-864)
<br /> ❑ 36. Lack of ground of cord-connecting equipment. (T25,a-866,b-868,c-870)
<br /> ❑ 37. Lack of outlet in habitable room,lack of approved light fixture in bathroom and toilet room. (T25,x-872,b-874)
<br /> ❑ 38. Lack of enclosed light fixture over bathtub or in shower compartment. (f25,878)
<br /> �] 39. Llght/pull chain switch located in damp location/within reach of plumbing fixture,cook stove,range,furnaces. (T25,a-880,b-882,c-884)
<br /> ❑ 4o. Improper use of extension cords. (T25,a-894,b-896)
<br /> 41. Outlet box/exposed,nonmetallic-sheeted cable not properly protected from physical or mechanical damage. (T25,a-886,b-888,c-690,d-892)
<br /> [� 42. Inadequate mobile home,recreational vehicle,tent. (1`25,a-900,b-902,c-904,d-908,a-910)
<br /> COMPLIANCE DATE:❑Immediately ❑ Within five 5 days ❑Within thirty 30 days
<br /> or to • -s
<br /> Any person served with a Notice of Violation may request a hearing on the matter by submitting a brief written statement
<br /> presenting the reasons for the request to the Environmental Health Department within ten 10 days of the service of the notice.
<br /> ❑UNSAFE WATER E P STED UN E TO OCCUPY N011gE POSTgl) SUE PERMIT TO OccU Y D NOT ISSUE PERMIT
<br /> Reeeived by: lj Tina: inspectionb
<br /> EHD 27-02 2/24/12•-, Employee ousing Inspection Notice
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