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CO0055164 (2)
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4200 – Liquid Waste Program
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CO0055164 (2)
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Last modified
10/6/2022 2:40:23 PM
Creation date
10/6/2022 2:38:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0055164
PE
4200
STREET_NUMBER
10475
STREET_NAME
CLARKS FORK
STREET_TYPE
CIR
City
STOCKTON
Zip
95219
APN
06612007
ENTERED_DATE
8/23/2022 12:00:00 AM
SITE_LOCATION
10475 CLARKS FORK CIRCLE
RECEIVED_DATE
8/23/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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SAN JOAQUIN <br />—COUNTY— <br />GreatneSS grows hpre. <br />Environmental Health Department <br />COMPLAINT INSPECTION REPORT <br />Name of Facility: Date: 08/23/2022 <br />Address: 10475 CLARKS FORK CIR, STOCKTON <br />Owner/Operator: BUNGAY CHRISTOPHER & ANDREA MARIA Telephone: <br />Program Element: 4200- LIQUID WASTE PROGRAM Complaint #: C00055164 <br />Responsible Party Contact: <br />DESCRIPTION OF COMPLAINT ALLEGATIONS <br />The San Joaquin County Environmental Health Department received the following complaint: <br />12 Gallons of sewage release ended up at the pump station. Release occurred on 8-21-22 at 8:38pm. <br />OVERALL INSPECTION NOTES AND COMMENTS <br />COMMENTS AND OBSERVATIONS <br />Spoke with Bryan Toledo from city of stockton. Release was caused by a pump station failure. Pixlley Slough was not <br />impacted by the release. No drinking was impacted. The release has since been stopped and contained. <br />Drove around 10475 Clark Fork Circle the location on release. The area has been cleaned. <br />Complaint abated. <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: Name and Title: , <br />EH Specialist: NASEEM AHMED Phone: (209) 616-3018 <br />C00055164 SC004 08/23/2022 <br />EHD Rev. 04/07/22 Page 1 of 1 Complaint Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd
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