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FACILITY NAME/TYPE: SINGLE FAMILY DWELLING DATE: FEBRUARY 17, 2022 <br />ADDRESS: 785 E. WILLOW AVE. CITY: MANTECA ZIP CODE: 95337 <br />OWNER/OPERATOR: ELLIOT DERROL D & EDITH G TELEPHONE #: <br />TYPE OF INSPECTION: CI COMPLAINT 0 STATUS CHECK CI OTHER PROGRAM <br />ELEMENT: 4200 <br />RECORD <br />ID#: C00054682 <br />NATURE OF COMPLAINT/CONSULTATION: <br />COMPLAINT INVESTIGATION FOR OCCUPIED RECREATIONAL VEHICLE WITH SEWAGE DISCHARGE. <br />OBSERVATIONS/COMMENTS: <br />WHEN I VISITED THE PROPERTY, I OBSERVED ONE CAMPING TRAILER WITHOUT ANY CONNECTIONS OR SURFACING SEWAGE. <br />ABATED COMPLAINT, NO FURTHER ACTION. <br />CORRECTIVE ACTIONS: <br />N/A <br />CORRECT BY: N/A <br />INSPECTED BY: ALDARA SALINAS <br />RECEIVED BY: MAILED TO OWNER DATE: FEBRUARY 17, 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. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sicehd.com