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CO0054621 (2)
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4200 – Liquid Waste Program
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CO0054621 (2)
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Last modified
3/24/2022 1:40:29 PM
Creation date
3/24/2022 1:38:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0054621
PE
4200
STREET_NUMBER
5125
Direction
S
STREET_NAME
KAISER
STREET_TYPE
RD
City
STOCKTON
Zip
95258
APN
18104006
ENTERED_DATE
1/24/2022 12:00:00 AM
SITE_LOCATION
5125 S KAISER RD
RECEIVED_DATE
1/24/2022 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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FACILITY NAME/TYPE: EMPLOYEE HOUSING FACILITY DATE: JANUARY 27TH, 2022 <br />ADDRESS: 5125 S. KAISER RD., STOCKTON CITY: STOCKTON ZIP CODE: 95258 <br />OWNER/OPERATOR: BARBARA LARSEN TELEPHONE #: <br />TYPE OF INSPECTION: KI COMPLAINT U STATUS CHECK U OTHER PROGRAM <br />ELEMENT: 4200 <br />RECORD <br />ID#: C00054621 <br />NATURE OF COMPLAINT/CONSULTATION: <br />COMPLAINT INVESTIGATION FOR SURFACING SEWAGE. <br />OBSERVATIONS/COMMENTS: <br />WHEN I VISITED THE PROPERTY, I MET THE OWNER, ESCORTED ME TO THE LOCATION OF THE SEPTIC TANK. No SURFACING <br />SEWAGE WAS OBSERVED. ABATED COMPLAINT. <br />CORRECTIVE ACTIONS: <br />N/A <br />CORRECT BY: N/A <br />INSPECTED BY: ALDARA SALINAS <br />RECEIVED BY: MAILED TO OWNER DATE: JANUARY 27TH , 2022 <br />EHD 48-05 Rev. 10/26/2017 <br /> Inspection Report <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com
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