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SAN 1UAQUIN <br />COUNTY - <br />`'�.;,P Gr€ot►�:ss aro..s rteic <br />Environmental Health Department <br />Liquid Waste Consultation Service Request Inspection Report <br />Name of Facility: fjSYl(/7� �' f­f'A_ <br />Date: 05/25/2022 <br />Address: 26689 E NARCISSUS WAY, ESCALON 95320 <br />Requestor: DAVID KENDRICK <br />Telephone: <br />Program Element: 4202 - LIQUID WASTE CONSULTATION <br />Request #: SR0085123 <br />Inspection Type: 523 - Plan Check/Report Review <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />Consultation to verify the connection to an existing septic system. I verified that the new building is plumbed into the existing <br />septic tank. <br />Destroy the abandoned septic tank under permit and inspection by EHD. <br />Destroy the abandoned wells under permit and inspection by EHD. <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: EM 09 %b 0&y,4V iF 1 Name and Title: <br />EH Specialist: <br />AARON GOODERHAM <br />Phone: (209) 616-3062 <br />SR0085123 SC523 05/25/2022 <br />EHD Rev. 09/16/2020 Page 1 of 1 Liquid Waste Consultation Service Request Inspection Report <br />