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PO UIN <br /> SA NUJ OAQ U I N Environmental Health Department <br /> COUNTY <br /> cq4— Greatness grows here. <br /> RECREATIONAL VEHICLE <br /> NOTICE TO ABATE <br /> FACILITY NAME/TYPE: LICENSE: (M � DATE: <br /> Recreational Vehicle (RV) �O <br /> LIQ 2Q�t� <br /> ADDRESS: �b ) � �A 1! M p CITY: "i ZIP CODE: <br /> ❑VEHICLE OWNER PROPERTY OWNER UTENANT: TELEPHONE#: <br /> TYPE OF INSPECTION: Lc OMPLAINT UD OTHER PROGRAM ELEMENT: RECORD c <br /> NATURE OF COMPLAINT/VIOLATION: <br /> Occupied RV outside of a permitted campground or park causing substandard conditions to exist. <br /> OBSERVATIONS/VIOLATIONS: <br /> RV observed to be occupied this date. <br /> Immediate Health and Safety issues observed (California Code of Regulations, Title 25(CCR25)): <br /> ❑ Hazardous electrical (CCR25, Section 1607(d)) Hazardous sewage disposal (CCR25, Section 1607(e)) <br /> F-1Hazardous mechanical (heaters, stoves) (CCR25, Section 1607(f)) tA"q`nja <br /> ❑ Fire hazard (candles, combustible materials) (CCR25, Section 1607(h)) <br /> ❑ Other: <br /> California Health& Safety Code, Section 18871(a)(c) - It is unlawful for any person to use or cause, or permit to be used for <br /> occupancy: <br /> (a) any RV supplied with fuel, gas, water, electricity, or sewage connections, unless the connections and <br /> installations conform to regulations <br /> (c) any RV in an unsafe or unsanitary condition or that is structurally unsound and does not protect its occupants <br /> against the elements. <br /> SJC Ordinance Code, Section 8-5100- It is a violation of this division for any property owner to permit or maintain a <br /> nuisance on his property. <br /> CORRECTIVE ACTIONS/ORDERS: <br /> EFFECTIVE IMMEDIATELY—Cease Occupancy of RV outside of permitted park. Disconnect all <br /> hazardous/unsanitary connections. <br /> ❑ HAZARDOUS CONDITIONS EXIST-UNSAFE TO OCCUPY-VACATE IMMEDIATELY <br /> Please be advised that pursuant to California Health& Safety Code, Section 18874, any person who willfully violates this <br /> part, or regulations adopted pursuant to this part, shall be liable for a civil penalty of five hundred dollars ($500) for each <br /> violation or for each day of a continuing violation. <br /> ALL EHD STAFF TIME ASSOCIATED WITH FAILURE TO COMPLY <br /> FAILURE TO COMPLY WITH THIS NOTICE <br /> MAY RESULT IN FORMAL ENFORCEMENT ACTION <br /> LiRdl EHS <br /> Director 1711 -/r / l <br /> INSPECTED BY: (1. 'L A-�1 �� �( PHONE: L 2M) A�A ' JAM <br /> SIGNATURE OF REGISTERED EN NMENTAL HEALTH SPECIALIST <br /> RECEIVED BY: DATE:� ��� �, � <br /> SIGNATURE OF OWNER/TENANT <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />