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CO0054037
EnvironmentalHealth
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JACK TONE
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12614
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3400 – Cannabis Program (Commercial)
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CO0054037
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Entry Properties
Last modified
7/13/2022 4:19:49 PM
Creation date
7/13/2022 4:16:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3400 – Cannabis Program (Commercial)
RECORD_ID
CO0054037
PE
3400
FACILITY_NAME
RESIDENTIAL
STREET_NUMBER
12614
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06327079
ENTERED_DATE
7/16/2021 12:00:00 AM
SITE_LOCATION
12614 N JACK TONE RD
RECEIVED_DATE
7/16/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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COST RECOVERY: Failure to Comply may result in substantial fines/penalties and/or enforcement <br />actions. The Environmental Health Department will recover all costs needed to abate these violations. <br />IG ATURE OF ENVIRONMENTAL HEALTH SPECIALIST <br />RECEIVED BY: MAILED TO THE PROPERTY OWNER <br />SIGNATURE OF OWNER/OPERATOR <br />y JASJIT KANG, REH .rzTE <br />INSPECTED BY: PRINT NAME: MICHAEL SUSZYCKI <br />DATE: 7/1) <br />CORRECTIVE ACTIONS/ORDER: <br />Dispose of hazardous waste in accordance with Title 22 California Code of Regulations. If the hazardous <br />substances and materials are not waste then provide a statement to the San Joaquin County <br />Environment Health Department explaining where and how the items will be used. <br />EISubmit copies of hazardous waste manifests/disposal records to the EHD within 30 days. <br />D Other: Correct By: <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />2 of 2
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