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°U ` .r� SA NUJ O A Q U I N Environmental Health Department <br /> ),.�%...BOG <br /> 2! Z <br /> Q� <br /> N' —COUNTY— <br /> NM............._. 'P <br /> q iiiF �� Greatness grows here. <br /> PUMPER TRUCKS/YARDS & CHEMICAL TOILETS OFFICIAL INSPECTION REPORT <br /> NAME OF FACILITY: n 1 S,A IC T y S tzvlc S. IhC INSPECTION DATE: <br /> PREMISE ADDRESS: till _jnd q r�j qj FP4rr-W4 CITY: 1)}� 44 <br /> rf ZIP CODE: nj/ .944 <br /> OWNER/OPERATOR: V�j K ��J�h0 1, TELEPHONE: <br /> V'' -1`i `ir <br /> PROGRAM ELEMENT: 4�(( PROGRAM RECORD: p �f �2 INSPECTION TYPE:�eW CIl( REINSPECT BY: <br /> V RV 4 Code `^I Pumper Trucks/Yards�L �(( JThhe items below present health code violations and must be corrected: <br /> Section �j. ry� <br /> 1 SJC 9-1110.8; VALID PERMIT/REGISTRATION 11 VW G lr�111 <br /> HSC 117405 11 Y[[�� <br /> 1 <br /> 2 SJC 9-1110.8; MONTHLY PUMPING REPORTS 2,9 <br /> HSC 117435 <br /> X3 SJLDR(5) IDENTIFICATION OF VEHICLES: <br /> 1aG 1'IGffc' 0 1 � � <br /> a)3 INCH:NAME,ADDRESS AND CAPACITY <br /> b)6 INCH:REGISTRATION NUMBER <br /> '1Y 17-1Y11 <br /> HSC 117420 TANK: �j GI rd Q d d f,( qna -mcu # I v <br /> 4 a)METAL CONSTRUCTION <br /> SJLDR(9)(A) b)LEAK PROOF VALVES XT app[jB.� �/ <br /> C)MANUAL VALVES 1 U L� <br /> d VALVE LOCATION <br /> HSC 117420 <br /> 5 SJLDR(9)(8) NO LEAKAGE,SPILLAGE OR SPLASHING. � ';1-`!V 1.� Ito o4f — tp be lied <br /> HSC 117420 Hoses: Dl who <br /> o <br /> 6 a)AVAILABLE AND ADEQUATE. <br /> SJLDR(9)(C) b)CLEAN AND WATERTIGHT. hd <br /> 7 HSC 117420; METAL RACKS <br /> SJLDR(9)(D) <br /> 8 HSC 117420 YARD: <br /> SJLDR(3) SANITARY AND ADEQUATE. <br /> CHEMICAL TOILETS <br /> 1 OWDS 11.5 TANK CAPACITY(40 GALLON MIN.) <br /> 2 OWDS 11.10 STORAGE SITE _ I71-A ry Y`A ryl-W L vn r <br /> 3 OWDS11.7 DISPOSALSITE .0 /l cdill <br /> 4 OWDS 11.6 TYPE OF CHEMICALS <br /> 5 OWDS 11.8 UNSANITARY CONDITION <br /> 6 OWDS 11.4 DOORS SELF-CLOSING,LOCKABLE I_ i� c <br /> 7 OWDS 11.2 VECTOR PROOF <br /> 8 OWDS 11.3 SURFACES SMOOTH/EASY TO CLEAN vl �(V� <br /> 9 OWDS 11.1 FLOOR AREA WIURINAL(10 SQ.FT.) <br /> � ���� 'I}� ��� '�r,' <br /> OWDS 11.1 FLOOR AREA W/OUT URINAL(8 SO.FT.) ON G V 1 W <br /> 10 OWDS 11.1 SUFFICIENT SPACE. <br /> 11 OWDS 11.9 LETTERING HEIGHT 31NCHES <br /> RECEIVED BY: O S I TITLE: e Y DATE: <br /> REHS: ,y M PHONE: � ( n((e-Quq) DATE: <br /> V=Violation;RV=Repeated Violation /I ' SE REVERSE SIDE FOR ADDITIONAL INFORVM[ATION PAGE:1 OF <br /> EHD 42-020 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> G��2� 032�1 <br />