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a RAS. SAN JOAQUIN COUNTY
<br /> L"'*IRONMENTAL HEALTH DEPARTh.eNT
<br /> 1868 East Hazelton Avenue, Stockton, CA 95205
<br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:WWW.sioov.oro/ehd
<br /> • ' a"gyp EMPLOYEE HOUSING INSPECTION NOTICE
<br /> ID#39- 3 ❑ Permanent Year Round(>181 days) ❑ Seasonal (5180 days) ❑Temporary DATE:Q-t-/ok-/iz
<br /> ❑PRE-OCCUPANCY OCCUPANCY ❑COMPLAINT ❑NUMBER OF OCCUPANTS:
<br /> ❑RE-INSPECTION ❑RE-INSPECTION ❑POST OCCUPANCY [ZPERMITTED OCCUPANCY: _ 7
<br /> LOCATION: �S jqp, CITY: CAMP TELEPHONE: 7 2
<br /> OPERATOR NAME: TELEPHONE: al 3 -S
<br /> OPERATOR ADDRESS: ) O CITY: ldny
<br /> OWNER NAME: TELEPHONE: 14a
<br /> OWNER ADDRESS: CITY: NYJ�
<br /> f- CHSC-California Health&Safety Code; T25-Tule 25,California Code of e u ations• T24-Tide 24 Calliforifile Code of Reau
<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(x))
<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 /> ❑ to. 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. (T24, 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. (T25,724)
<br /> ❑ 18. Bed frames are rusty,deteriorated,or unsanitary. (T25,732(a))
<br /> ❑ 19. Bedding provided by camp operator is soiled,deteriorated,or unsanitary. (T25,732(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 of/Inadequate approved B/C4he extinguisher in mess hall kitchen and/or Class A(every 5000 sq.ff.)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 /> ❑ 26 Plumbing 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,i-790,1-792)
<br /> ❑ 27. Sewage disposal system failing. (T25,a-784,b-786,c-792)
<br /> ❑ 28. Water supply not fit for domestic use. (T25,a-770,b-772,c-774)
<br /> ❑ 29. Camp lacks adequate heating facilities. (T25,a-800,b-802) IN S
<br /> 30. Liquefied petroleum gas tanks inadequate(lack foundation,improperly located, ctiarrier lack minimum clearance,lack"No
<br /> Smokin "sl n . T25,a-806,b-808 c-810,d-812,a-814,f-816.
<br /> ❑ 31. Appliances lack proper vent,clearance,or shutoff valve. (T25,a-818,b-820,c-822,6"824,a-826,f-828,g-830,h-832)
<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) aK�
<br /> �. 34. Electrical system Improperly grounded,fused,or protected,or not maintained in a safe working order. (725,a-850,b-852,c-854,d-858,e-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,a-872,b-874)
<br /> ❑ 38. Lack of enclosed light fixture over bathtub or In shower compartment. (T25,878)
<br /> ❑ 39. Light/pull chain switch located in damp location/within reach of plumbing fixture,cook stove,range,fumaces. (1`25,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. (f25,a-886,b"888,c-890,d-892)
<br /> ❑ 42. Inadequate mobile home,recreational vehicle,tent. (T25,a-900,b-902,c-904,d-908,a-910)
<br /> COMPLIANCE DATE: ❑ Immediately ❑ Within five (5) days ❑ Within thirty(30) days
<br /> NO fxkWyia&Aij W!;&_ , iS - e4lexf.q- vbn ls�G 3 P�Sb7R Al�Xi YUSrr,s
<br /> Any person seryed with a Not ce of Violation may request a hearing on the matter by submitting a brief wr tten 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 ER NTICE STED [I UNSAFE TO OCCUPY NOTICE POTED [I ISSUE PERMIT TO OCCUPANCY ❑DO NOT ISSUE PERMIT
<br /> Recelved by: Title: Inspection by:
<br /> EHD 27-0 t12 Employee Housing Inspection Notice
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