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CO0055697
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0055697
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Entry Properties
Last modified
4/27/2023 4:32:45 PM
Creation date
4/27/2023 4:28:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0055697
PE
4200
STREET_NUMBER
21075
Direction
S
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21206005
ENTERED_DATE
3/20/2023 12:00:00 AM
SITE_LOCATION
21075 S. CORRAL HOLLOW
RECEIVED_DATE
3/20/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\bmascaro
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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: SINGLE FAMILY DWELLING DATE: 4/6/23 <br />ADDRESS: 21075 S. CORRAL HOLLOW RD. CITY: TRACY ZIP CODE: 95376 <br />OWNER/OPERATOR: RAJABI, GHULAM S & MALIHA TELEPHONE #: <br />TYPE OF INSPECTION: 0 COMPLAINT 0 STATUS CHECK 0 CONSULTATION PROGRAM <br />ELEMENT: 4200 <br />RECORD <br />io#: 000055697 <br />NATURE OF COMPLAINT/CONSULTATION: <br />RECREATIONAL VEHICLE CONNECTED TO THE SEPTIC TANK. <br />OBSERVATIONS/COMMENTS: <br />MET TENANT AND SHOWED ME THE DISCONNECTED RECREATIONAL VEHICLE AND THE SEPTIC TANK, BOTH HAVE A GLUED CAP TO <br />PREVENT SURFACING SEWAGE. RECREATIONAL VEHICLE'S CAP DOESN'T HAVE TO BE GLUED. ABATED COMPLAINT. <br />CORRECTIVE ACTIONS: <br />N/A <br />CORRECT BY: N/A <br />INSPECTED BY: ALDARA SALINAS <br />RECEIVED BY: MAILED TO OWNER DATE: 4/6/23 <br />END 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
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