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a SAN JOAQUIN COUNTY
<br /> a ENVIRONMENTAL HEALTH DEPARTMENT 4
<br /> 1868 East Hazelton Avenue,Stockton,CA 95205 a i
<br /> " Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd
<br /> 185 `'' EMPLOYEE HOUSING INSPECTION NOTICE
<br /> ID#39- P Permanent Year Round(>181 days) ❑ Seasonal(5180 days) ❑Temporary DATE:
<br /> PRE-OCCUPANCY ❑OCCUPANCY ❑COMPLAINT ❑NUMBER OF OCCUPANTS:
<br /> ❑RE-INSPECTION ❑RE-INSPECTION` ❑POST OCCUPANCY ❑PERMITTED OCCUPANCY'
<br /> LOCATION: CITY-. h CAMP TELEPHONE:
<br /> OPERATOR NAME: Q 1,2Q'r�ltee� TELEPHONE: it
<br /> OPERATOR ADDRESS: 1r"i C Com'
<br /> OWNER NAME: TELEPHONE:
<br /> OWNER ADDRESS: 1 Com'
<br /> CHS Ce0f4hita Health38AS Conde Ti26 aRs lif4m if R tra ns �t -Rio i a
<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. 610ngual Notice not posted in conspicuous place In camp. (T25,x-624,b-625)
<br /> E] 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. (r25,627)
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<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 /> E] 7. Heater not installed In shower room. (T25,655)
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<br /> 6 nable windows not provided with Insect screening In habitable rooms. (T25,728x)
<br /> Solid doors or screen doors not provided with self-closing device. (T25,728b)
<br /> ❑ 1o. 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. (1-25,702)
<br /> 12. Building and grounds are not maintained in a dean 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. (r24,1203.4)
<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 60 square feet of floor area for each occupant 076,724)
<br /> ❑ 18. Bad frames are rusty,deteriorated,or unsanitary. (125,732(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. Kltchan and mess hall not maintained in a clean and sanitary condition. (T25,a-736,b-738,o-740)
<br /> ❑ 22. Inadequate storage and removal of refuse and garbage. (T25,742)
<br /> ❑ 23. Lack ofMadequate approved B/C-4re extingulsher in mess hall kitchen and/or Class A(every 5000 sq.ft.)in dormitory.(T25,a-744(a),b-744(b))
<br /> [� 24. Lack of or Inadequate smoke deter... (CH 8 SC 13113.7)
<br /> [] 25. Articles or materials being maintained on premises creating a fire hazard. 0r25,746)
<br /> 28 Plumbing system,fixtures,equipment,devices,and safeguards not maintained in good wo ng order or are inadequate. (r25,a-756,b-758,
<br /> _760 d-762 a-764 f-766 758 h-7B8 i-790 -792 0
<br /> [] 27. Sewage disposal system failing. (r25,a-784,b-786,o-792)
<br /> ❑ 28. Water supply not fit for domestic use. CM,a-770,b-772,c 774)
<br /> ❑ 29. Camp lacks adequate heating facilities. (T25,a-800,1-802)
<br /> Llquetled petroleum gas tanks Inadequate(lack foundation,improperly located,lack protective barriers,lack minimum clearance,lack"No
<br /> Smokin"si n. 5 8-806 b-808 c-,"O d-812 a-814 f-816.
<br /> [] 31. Appliances lack proper vent,clearance,or shut-o8 valve. (T25,a-818,b-820,c-822,d-824,e-826,f-828,g-830,h-832)
<br /> 32. Water heater lacks temperature-pressure relief valve,and/or Improperly plumbed to outside of building. 0'25,834)
<br /> �] 33. Water heater Improperly located and/or lacks adequate combustion air. (T25,a-a36,b-838)
<br /> ❑ 34. Electrical system improperly grounded,fused,or protected,or not maintained in a safe working order. CM,6-860,b-852,0854,d-858,"60)
<br /> 35. Insufficient vertical clearance for electric wires above roofs(8'),walkways,attachment point of buildings(10'),and driveways.(T26,x-862,1-864)
<br /> 36. Lack of ground of card-connectIng equipment (r25,6-868,b-888,o(iru)
<br /> ❑ 37. Lack of outlet In habitable room,lack of approved light fbdure in bathroom and toilet room. (T25,a-872,b-874)
<br /> ❑ 38. Lack of enclosed light fbdure over bathtub or In shower compartment (T25,878)
<br /> ❑ 39. Ught/pull chain switch located In damp location/wtthin reach of plumbing fixture,cook stove,range,furnaces. 025,e-880,b-882,c-884)
<br /> 40. 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. (1-25,a-886,b-868,C-890,d-892)
<br /> ❑ 42 Inadequate mobile home,recree8onal vehicle,tent (T25,a-900,b-902,c-904,d-908,a-910)
<br /> coMp JANCE DATE:❑Immediately ❑ Within five 5 da s !thin thirty 30 days
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<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 of the service of the nolics.
<br /> ❑UNSAFE WATER NOTICE POSTED ❑UNSAFE TO OCCUPY NOTICE POSTED ❑ISSUE PERMITTo OCCUPANCY ❑Do NOT ISSUE PERMIT
<br /> nBe: A Inapeceon hy: G
<br /> Received hy: i- 2"
<br /> Employee Housing inspection N 4 e
<br /> EHD 27-02 2/24/12
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