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CO0049137
Environmental Health - Public
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WALNUT GROVE
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13945
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4600 - Public Water System Program
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CO0049137
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Last modified
6/10/2019 4:52:26 PM
Creation date
3/19/2019 1:23:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4600 - Public Water System Program
RECORD_ID
CO0049137
PE
4600
STREET_NUMBER
13945
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORTON
Zip
95686
APN
00104005
ENTERED_DATE
3/4/2019 12:00:00 AM
SITE_LOCATION
13945 W WALNUT GROVE
RECEIVED_DATE
3/4/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN�IOAQUIN a <br /> Environmental Health Department <br /> COUNTY <br /> c 'P <br /> gcrFoa�� Greatness grows here. <br /> OFFICIAL INSPECTION REPORT <br /> FACILITY NAME/TYPE: � DATE: G- <br /> C o ni iiutmWotw- u sit dI <br /> ADDRESS: 1 bq"I G /yl �rU`� f�C� CITY:Tll(, ZIP C [L_ / <br /> OWNER/OPERATOR: Oc r�(iL/Irl a k a ICCI �C h (1IiCC�C�( TELEP�ONo _' c q-2-(b27 <br /> TYPE OF INSPECTION: COMPLAINT ❑ CONSULTATION ❑ OTHER PROGRAM / �, I�RECORD <br /> ELEMENT: � Lam') ID#: <br /> NATURE OF COMPLAINT/CONSULTATION: <br /> V ark uus Hoockd w U11 a) sy-toaqe <br /> uor aty LOCK <br /> OBSERVATIONS/COMMENTS: <br /> ' r <br /> 1 - s czs S ��� 3- - c' Y1'1 • cc <br /> I CC <br /> �bu�c,� <br /> s <br /> CORRECTIVE ACTIONS: <br /> r U16 rl 1 S *-C , s• <br /> U IJ <br /> CORRECT BY: <br /> INSPECTED BY: c A y'n - /'Q W or- <br /> RECEIVED BY: Vv` l• DATE: <br /> EHD 48-05 Rev.10/26/2017 Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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