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tr <br /> Environmental Healt,. department <br /> San Joaquin County T pROGRAM i <br /> HOUSING ABATEMEN 4 <br /> ENFORCEMENT CHECKLIST <br /> NOTICE AND ORDER TO ABATEnd Comlait No- 0-6-P <br /> ��S <br /> 2 gDate Complaint Received abate Popedncgov-4 ca '((W) <br /> Date Notice and Order to Completed <br /> — Date Posting of Affidavit P <br /> 4.3. —Notice to Secure Posted <br /> 5 Notice to Secure Letter Mailed <br /> 6 Compliance Date to Secure Structure(s) <br /> 7 ¢ L ntk Date UH/N Entered into Permits Plus <br /> 8 �, Date Title Search Ordered eal Forms, and <br /> 9 Date Title Search Received <br /> 10. <br /> Date Notice and Order Mailed Certified to Owner with Cover Letter, App <br /> Lead Hazard Notice les «7th Cover Letter, Appeal <br /> Date Notice and Order Mailed Certified to Beneficiary(: ) <br /> 11. Forms, and Lead Hazard Notice Hygienist List(tailed Certified to Owner <br /> 12 �Wate Drug Lab Letter and Certified Industrial Hya13ate Notice <br /> of Abatement Action Sent to the Office of the Recorder through the EHD <br /> Accounting Officeif <br /> ate Septic Tarn:Destroyed and Permit Finaled (Mark Af no well) <br /> lino septic tank <br /> 14. �D P <br /> 15. <br /> Date Well Destroyed and Permit Finaled(Mar <br /> A if no well) <br /> 6 _Date Out of Ser�'ice Well Permit Otairie from Office ofark /the Recorder <br /> 16. —Date Notice of Abatement ReceivedDocument No. <br /> Date Recorded <br /> 17 _Date Abated: No. of Structures Demolished <br /> No. of Structures Repaired <br /> RENS Staff Signature <br /> Supervisor's Signature <br /> APPEAL OF NOTICE AND ORDER TO ABA T R <br /> 18 —Date Appeal of Notice and order Received <br /> Date Notice of Appeal Hearing Posted <br /> 19. __--Date Posting Affidavit Completed (For Hearing Notice) <br /> 20. Appeal Hearing <br /> 21 -Date of <br /> 22 �—Date BHA Resolution Postedleted(For BHA Resolution) <br /> Date Posting Affidavit Comp /Bsoluti iry(ies) and/or Appellant(s) <br /> 23. -- - <br /> 24 _Date Resolution Mailed Certified to Owners N/A if no <br /> Tank Destroyed and Permit Finaled (Markf no well) septic tank) <br /> 25 Date Septic <br /> 26. ----Date Well Destroyed and Permit rmit Obtained Mark N/A if no well) <br /> Date Out of Service Well P <br /> 27. ---- olished <br /> 28 —Date Abated: }zes I�, r <br /> aired k ; , <br /> No. <br /> No. of Structures Rep i <br /> Supervisor's Si `" -� <br /> Si nature � <br /> REHS Staff g <br /> Page 1 of 3 <br /> HAO008A Revised 1-27-04 <br />