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CO0055663 (3)
EnvironmentalHealth
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26 (STATE ROUTE 26)
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4600 - Public Water System Program
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CO0055663 (3)
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Entry Properties
Last modified
11/20/2024 8:49:40 AM
Creation date
4/4/2023 4:03:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4600 - Public Water System Program
RECORD_ID
CO0055663
PE
4600
STREET_NUMBER
5621
Direction
E
STREET_NAME
STATE ROUTE 26
City
STOCKTON
Zip
95215
APN
10123017
ENTERED_DATE
3/7/2023 12:00:00 AM
SITE_LOCATION
5621 E HWY 26
RECEIVED_DATE
3/7/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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FACILITY NAME/TYPE: <br />N/M P WAIVIZ- _s.1c>Tt-rn DATE: 3/ 2)-4 i 2-3 <br />ADDRESS: 56721 6- ‘40-)Y 2te CITY: S TN/le-TUN ZIP CODE: ci 52AS <br />OWNER/OPERATOR: 1,.] _c1C,N1 yr 6(2.-e..--1) TELEPHONE It' " ZIA - 321 - qi-i'eS <br />TYPE OF INSPECTION:p[ COMPLAINT 0 CONSULTATION CI OTHER PROGRAM <br />NT. 4(voo itRECORD <br />NATURE OF COMPLAINT/CONSULTATION: <br />5119-oNv ,Syyla,A, OF (A/UTZ-04 vu)-AeN 11/19-0/1\16" ON FFtv‘-er- A-"Ng k,113••161 (A/49MV-- - <br />OBSERVATIONS/COMMENTS: <br />ON mft-o-t z„, 2-O9-2, -1- 50*--e in) 11-1 HI I-DR AT _9ati\iAI)Pos?o)N1 (xvivilf -Ptorti__ <br />1-1ousiNiel . 61-1 Do 440-1- “ptsif, wloyie- 1c1--Friu, fie?-~) --114E (prytViAlit\A-N\-- -I <br />eXVI..0-1NO• 13-16 HAD Pr 13 &)-M(t-v(4 V.fit, ftcl- I 1-02-e- Fon Fa, 9-vri-e-y, <br />V) MA T\ON - De-rezir /)--tt-oPt\ro- ft-e-StDovs. 1--Iii-bR sTA--0) SHE it../- C--a-fyil-- THE <br />ktvEvearftneiv. ,9120v--..- virn-t Nrewr, mio c:in\iti.frq). —lie WM- F,E- \--csv tN2,, A 4.9 A1-4--- <br />-yrv6 1 As ii,„.012,a, 45.;DAS crp.,.e-vlsr a.)-i Tamar Chkevyuln Miri-XJrnom CoNvrtnikiviA-N1- <br />1,12‘Peq- 1.1n11.- oF v\D-14=•1- ON N\D-tWrk r0114 -. 006A%-1 \PeD Pi- Ceke ti•P P--te. 1\12riv.,e. <br />(31\i,, PAPY12/(A4 1 i-tt ,_ 1 2•6-61' "f.--D (41C'tfAIIMIaN ,-*In}9 1,c 12-6-5v1X5M-f 141 vOR-f wint aormn _ <br />ON rnftstA-‘ IS i _C-- ci,Witurlffe. voill-t )-kii-i)et, Vot-ty MAD 51-i-C Wtt- PR5S oNl-tE - <br />CORRECTIVE CORRECTIVE ACTIONS: <br />‘4 0 (A,VtA7p1INA6- (1.1.11Aitott-b VIG17-- 'DerEZA -1_) - iVel,C-Y WAIVP tA61) V‘1111-1 -11--te- <br />9\12,6Al\ft o-- 1\-ke q`-tsT1 l'C. ,0 - ‘Aok-irnor\J Prtv 9c-tvq>0 A- -i)6 mrnFlat-T/rAi <br />PG v \pal- -1'& bDrui-v2Ao1,060c.-Pa, .5fIrn,P1-0. "-Th Lavttexr 17.102.- )9-12 ND MA-72_ <br />WiklitrY 1 .S.55- (,orvIa,FiiNis- ik2,1\-t-VD <br />CORRECT BY: <br />INSPECTED By: iqft 317T WM" <br />RECEIVED BY: DATE: <br />EHD 48-05 Rev. 10/26/2017 Inspection Report <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com <br />SANAAQUIN <br />COUNTY <br />Environmental Health Department <br />Greatness grows here. <br />OFFICIAL INSPECTION REPORT
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