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CO0054029 (2)
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4200 – Liquid Waste Program
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CO0054029 (2)
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Last modified
1/6/2022 10:13:53 AM
Creation date
1/6/2022 10:06:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0054029
PE
4200
STREET_NUMBER
769
Direction
E
STREET_NAME
WILLOW
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24105117
ENTERED_DATE
7/14/2021 12:00:00 AM
SITE_LOCATION
769 E WILLOW AVE
RECEIVED_DATE
7/14/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: RECREATIONAL VEHICLE "SPORTSMEN" DATE: SEPTEMBER 9TH, 2021 <br />ADDRESS: 769 E. WILLOW AVE. CITY: MANTECA ZIP CODE: 95337 <br />OWNER/OPERATOR: DERROL & EDITH ELLIOTT TELEPHONE #: <br />TYPE OF INSPECTION: III COMPLAINT CI STATUS CHECK 0 OTHER PROGRAM <br />ELEMENT: 4200 <br />RECORD <br />ID#: C00054029 <br />NATURE OF COMPLAINT/CONSULTATION: <br />COMPLAINT INVESTIGATION FOR TWO RECREATIONAL VEHICLES DUMPING SEWAGE. <br />OBSERVATIONS/COMMENTS: <br />WHEN I VISITED THE PROPERTY, I COULD NOT GO PAST THE GATE. I WAS ABLE TO SEE FROM THE STREET THIS RECREATIONAL <br />VEHICLE HAS A SEWAGE CAP AND NO SURFACING SEWAGE OBSERVED. ABATING COMPLAINT. <br />CORRECTIVE ACTIONS: <br />N/A <br />CORRECT BY: N/A <br />INSPECTED BY: ALDARA SALINAS <br />RECEIVED BY: MAILED TO OWNER DATE: SEPTEMBER 9TH , 2021 <br />END 48-05 Rev. 10/26/2017 <br /> Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com
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