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SAN aJOAQUIN COUNTY <br /> .< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> NUISANCE NOTICE TO ABATE <br /> For Unsafe to Health Conditions <br /> FACILITY NAME/TYPE: LICENSE: DATE y�2of7 <br /> ADDRESS: /�3 GC-_-) e� tot,-l . CITY ZIP ODEO�IZ <br /> 7 fop fs. ahl,sst <br /> ❑VEHICLE OWNER 11P <br /> PERTY OWNEa WTENANT: TELEPHONE#: <br /> TYPE OF INSPECTION: IgCOMPLAINT ❑OTHER PROGRAM ELEMENT: RECORD <br /> / 22 1 ID`Ce72pe0 <br /> NATURE OF COMPLAINTNIOLATION: ©ec-t(e� -Iree 44 accS� - Duey( Cc LGL-se- <br /> UNSAFE <br /> e <br /> UNSAFE HEALTH CONDITIONS OBSERVE/D: /FIRST NOTICE ❑ FINAL NOTICE <br /> ❑ Unsanitary Conditions <br /> ❑ Lack of Sanitation Facilities (toilet, hand wash, bathing facilities) <br /> ❑ Lack of Adequate Garbage Facilities <br /> ❑ Lack of Potable Water Supply <br /> ❑ Unsafe Fuel Supplied Equipment (fuel supplied heater/stove/ generator-sources of carbon monoxide) <br /> ❑ Fire Hazard (unsafe use of candles, space heater, extension cords, camp fire, stoves) <br /> ❑ Occupancy of tents, campers, vehicles outside of an appropriately permitted park (special occupancy <br /> park, labor camp, campground/resort, organized camp) <br /> �Other: 0oet— %41ffr Pin Wta , <br /> VIOLATIONS:SJC Ordinance Code, Section 8-5100—It is a violation of this division or an rope ovVner to permit <br /> or maintain a nuisance on his property. California Civil Code, Section 3479-Anything which is injurious to health is a <br /> nuisance. <br /> CORRECTIVE ACTIONS/ORDERS: <br /> EFFECTIVE IMMEDIATELY- <br /> [� Cease unpermitted occupancy outside of approved park. <br /> Disconnect and/or cease use of all hazardous and/or unsanitary connections. <br /> ® HAZARDOUS CONDITIONS EXIST— UNSAFE TO OCCUPY—VACATE IMMEDIATELY <br /> ALL EHD STAFF TIME ASSOCIATED WITH RESOLVING THIS COMPLAINT WILL BE BILLED AT THE CURRENT HOURLY RATE - <br /> COMPLIANCE RECHECK IN ❑ 24 HOURS ❑ 48 HOURS X 10 DAYS <br /> FAILURE TO COMPLY WITH THIS NOTICE <br /> MAY RESULT IN FORMAL ENFORCEMENT ACTION <br /> Donna Heran, REHS, Director ////� <br /> INSPECTED BY: T't PHONECZ7 Oro <br /> SIGNATURE OF RkaisTt`REDVI ONMENTAL HEALTH SPECIALIST <br /> RECEIVED BY: DATE: <br /> SIGNATURE OF OWNEH/TENANT <br /> EHD 13-29 5/2/12 Nuisance Notice to Abate <br />