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CO0055087 (2)
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0055087 (2)
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Last modified
1/24/2023 2:34:42 PM
Creation date
1/24/2023 2:12:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0055087
PE
4200
STREET_NUMBER
10835
Direction
W
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21217008
ENTERED_DATE
8/1/2022 12:00:00 AM
SITE_LOCATION
10835 W LARCH RD
RECEIVED_DATE
8/1/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: RECREATIONAL VEHICLE DATE: 9/29/2022 <br />ADDRESS: 10835 W LARCH RD CITY: TRACY ZIP CODE: 95304 <br />OWNER/OPERATOR: AJAY & PINKY KUMAR TELEPHONE #: <br />TYPE OF INSPECTION: El COMPLAINT El STATUS CHECK 0 OTHER PROGRAM <br />ELEMENT: 4200 <br />RECORD <br />mot: 000055087 <br />NATURE OF COMPLAINT/CONSULTATION: <br />COMPLAINT INVESTIGATION FOR SURFACING SEWAGE/GRAY WATER BEING DUMPED FROM THE RECREATIONAL VEHICLE PARKED <br />ON THE PROPERTY <br />OBSERVATIONS/COMMENTS: <br />WHEN I VISITED THE PROPERTY, I NOTICED THAT THE RECREATIONAL VEHICLE WAS REMOVED FROM THE PROPERTY. <br />ABATED COMPLAINT. <br />CORRECTIVE ACTIONS: <br />MAINTAIN PROPERTY IN GOOD ORDER. <br />CORRECT BY: N/A <br />INSPECTED BY: ALDARA SALINAS <br />RECEIVED BY: MAILED TO OWNER DATE: 9/29/22 <br />EHD 48-05 Rev. 10/26/2017 <br /> 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
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