Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />(209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />� if 0 <br />NOTICE TO ABATE <br />'7 <br />FACILITY TYPE/NAME: DATE: to <br />SITE ADDRESS: C CITY: �/ ZIP CODE: <br />OWNE JO ERA OR: C r TELEPHONE: 1— <br />.......... <br />TYPE OF OMPLAI <br />CNT ❑ ROUTINE ❑ CONSULTATION ❑OTHER PROGRAM RECORD ID#: <br />INSPECTION: ELEMENT <br />Notice to Abate <br />EHD 48-042 <br />4/2012 <br />CORRECTIVE ACTIONSIORDE : <br />f� <br />CORRECT BY: <br />FAILURE TO COMPLY WITH THIS NOTICE <br />MAY RESULT IN FORMAL ENFORCEMENT ACTION <br />DONNA. RERAN, REHS <br />DIRECTOR <br />INSPECTED Y: <br />PRINT NAME: <br />SIGNATURE 0 <br />EGISTERED EN RONMENTAL HEALTH SPECIALIST <br />RECEIVED BY: ' <br />— A DATE: <br />0 Q, <br />SIGN URE OF <br />ERATOR <br />Notice to Abate <br />EHD 48-042 <br />4/2012 <br />