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SAN JOAQUIN COUNTY <br /> EN ONMENTAL HEALTH DEPARTONT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> SOLID WASTE OFFICIAL INSPECTION REPORT Page of <br /> D A INSPECTION DATE <br /> $OLID WASTE❑ INFECTIOUS WASTE <br /> i"A &4mlmZ34 <br /> Structure operation VEHICLES/EQUIPMENT FACILITY ADDRESS I REINSPECTION DATE <br /> ❑ ❑ 1. Registration(DMV) OWNER/OPERATOR V PHONE <br /> ❑ ❑ 2. Solid Waste Permit ._ L _ <br /> INSPECTION TYPEPROGRAM ELEMENT TOTAL#OF VEHICLES RECORD ID <br /> ❑ ❑ 3. Infectious Waste Permit Aynic <br /> r <br /> The items below represent code violations and must be corrected: <br /> ❑ ❑ 4. Identification: <br /> ❑ ❑ A. Name: <br /> 4"Height x 1"Width <br /> El E] 4" <br /> ID Number: <br /> 4"Height x 1"Width 41M rner <br /> If <br /> ❑ ❑ C. Lettering both sides <br /> ❑ ❑ 5. Cleaning <br /> ❑ ❑ 6. Maintenance i9 <br /> ❑ ❑ 7. Tail Gate Seal i l <br /> ❑ ❑ 8. Carry Tubes <br /> ❑ ❑ 9. Ride Steps <br /> A 6aao'J4 )Ina in <br /> ❑ ❑ 10. Broom/Shovel p <br /> ❑ ❑ 11. Roll Off Covers <br /> ❑ ❑ 12. Leakage or Spillage <br /> Structure operation C O N T A I N E R S r gy <br /> 6 ki <br /> E] E] 13. Identification over 1 yd l <br /> l <br /> ❑ ❑ A. Name <br /> 1 <br /> ❑ ❑ B. Telephone Number �-- <br /> ❑ ❑ 14. Cleaning <br /> c �A <br /> ❑ ❑ 15. Maintenance <br /> ❑ ❑ 16. Insects <br /> structureoperation Y A R D S <br /> ❑ ❑ 17. Sanitation <br /> ❑ ❑ 18. Parking <br /> ❑ ❑ 19. Wash Down Facilities <br /> 20.Hazardous Waste Storage RECEIVED BY I INS�ER <br /> ❑ ❑ Time/Method <br /> EHD 44-01 4/12/12 SOLID WASTE OIR <br />