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SA NJ U AQ U I N Environmental Health Department <br />COUNTY__ c � 9:00 am <br />9:15 am <br />Liquid Waste Consultation Service Request Inspection Report <br />Name of Facility. Date: 06/20/2022 <br />Address: 20458 N HWY 99 , ACAMPO 95220 <br />Requestor: ARROYO, ALEJANDRO Telephone: (209) 663-8588 <br />Program Element: 4202 - LIQUID WASTE CONSULTATION Request #: SR0085421 <br />Inspection Type: 061 -CONSULTATION <br />NOTES <br />Service request- Verify location of septic tank for addition to house. Septic tank is located 71 ft from the northern property line <br />and 115 ft from the western property line (front gate). Attached is a map indicating location of septic tank. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: <br />EH Specialist: <br />FRANCISCO RUIZ <br />Name and Title: Alejandro Arroyo, Owner <br />Phone: (209) 616-3032 <br />SR0085421 SC061 06/20/2022 <br />EHD Rev. 09/16/2020 Page 1 of 1 Liquid Waste Consultation Service Request Inspection Report <br />