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SAN JOAQUIN <br />hkjCOUNTY <br />Greatness grows here. <br />Environmental Health Department <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: SINGLE FAMILY RESIDENCE (SFR) / SEPTIC DESTRUCTION <br />DATE: FEBRUARY 11TH, 2022 <br />ADDRESS: 3008 E. FLORIDA AVE. <br />CITY: STOCKTON <br />ZIP CODE: 95205 <br />OWNER/OPERATOR: ROBIN MENCIA <br />TELEPHONE #: (415) 680-4196 <br />TYPE OF INSPECTION: L3 COMPLAINT L3 STATUS CHECK ❑x OTHER <br />PROGRAM <br />ELEMENT: 4221 <br />ORD <br />%D#:SR0084823 <br />NATURE OF COMPLAINT/CONSULTATION: <br />VERIFY THAT THE SEPTIC TANK LOCATED ON THE PROPERTY WAS PROPERLY DESTROYED. <br />OBSERVATIONS/COMMENTS: <br />DURING MY SITE VISIT, I OBSERVED THE SEPTIC TANK TO HAVE BEEN PROPERLY DESTROYED <br />AND THE HOLE <br />BACKFILLED WITH DIRT. NO VOIDS WERE DETECTED. <br />CORRECTIVE ACTIONS: <br />NONE. <br />CORRECT BY: N/A <br />INSPECTED BY: MICHAEL SUSZYCKI 711414, <br />--[RECEIVED BY: N/A <br />DATE: APRIL 22ND, 2022 <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />