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CO0053889 (2)
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0053889 (2)
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Last modified
8/25/2021 3:37:03 PM
Creation date
8/25/2021 3:34:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0053889
PE
4200
STREET_NUMBER
11807
Direction
E
STREET_NAME
BENNDORF
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00717009
ENTERED_DATE
6/8/2021 12:00:00 AM
SITE_LOCATION
11807 E BENNDORF RD
RECEIVED_DATE
6/8/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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ppuiN s AN ,j0A ou iN <br />tlY <br />COUNTY <br />Environmental Health Department <br /> <br />1.1F004 Greatness grows here <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: DATE: JUNE 15TH , 2021 <br />ADDRESS: 11807 E BENNDORF RD CITY: ACAMPO ZIP CODE: 95220 <br />OWNER/OPERATOR: JOSE ROBLES TELEPHONE #: <br />TYPE OF INSPECTION: M COMPLAINT 0 STATUS CHECK CI OTHER PROGRAM <br />ELEMENT: 4200 <br />RECORD <br />ID#: C00053889 <br />NATURE OF COMPLAINT/CONSULTATION: <br />A COMPLAINT INVESTIGATION FOR ALLEGEDLY SEWAGE GOING ONTO THE GROUND. <br />OBSERVATIONS/COMMENTS: <br />WHEN I VISITED THE PROPERTY, I ASKED THE TENANT ABOUT THE RVs ON THE PROPERTY. HE STATED THERE WAS NO <br />CONNECTIONS TO THE RVs. VERIFIED THAT SEWAGE CAPS WERE ON RVs. No VISIBLE SEWAGE ON SITE. <br />No VIOLATIONS WERE OBSERVED. <br />CORRECTIVE ACTIONS: <br />MAINTAIN THE PROPERTY IN GOOD ORDER. <br />CORRECT BY: N/A <br />INSPECTED BY: FRANCISCO GARCIA RUIZ <br />RECEIVED BY: MAILED TO OWNER DATE: JUNE 15TH, 2021 <br />EHD 48-05 Rev. 10/26/2017 <br /> Inspection Report <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com
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