| Inspecting Officer: |
| Time: |
| Date: |
| Name and address of Operator: |
| Phone No.: |
| Owner/Operator: |
| Supervisor/operator on duty at time of inspection: |
| | YES | NO | REMARKS |
| I | PERSONAL | | | |
| | | | |
| | YES | NO | REMARKS |
| II | OPERATION | | | |
| 10 | Delivery hoses, outlet valves should be secured and sealed against leakage. | | | |
| 10 | Vehicle tank, (both interior and exterior) and appurtenance devices such as hoses, pumps etc. must be routinely cleaned and maintained. | | | |
| 10 | Interior of metal sludge holding tank must be coated with a suitable material to reduce the occurrence of corrosion. | | | |
| 10 | Tank manhole must be covered with a watertight cover constructed of impervious material. Manhole cover must be kept secured with a locking device. | | | |
| 10 | All openings in tank must be so designed and constructed to prevent spillage of contents. | | | |
| 5 | Manhole must be designed, constructed and maintained to prevent the intrusion of vermin. | | | |
| 10 | At all times sewage should be dumped at the Water and Sewerage Company Inc. | | | |
| | YES | NO | REMARKS |
| 10 | Holding tank mounted on the truck is thoroughly cleaned, sanitized and tested for bacteriological and chemical contamination whenever – | | | |
| (a) Non-potable water or other contaminants are stored or comes into contact with their interior surfaces of the tank. |
| (b) A new holding tank is installed on the truck. |
| (c) Tank has not been utilized for an extended period of time. |
| 10 | Certificate of analysis from a certified laboratory. | | | |
| 5 | Valid Public Health Licence | | | |
| 5 | Identification number is required to be inscribed (in a conspicuous area) on holding tank that is not permanently attached to the water truck. | | | |
| Tank No.: |
| Score: |
| Comments: |
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