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CO0054315 (2)
Environmental Health - Public
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4200 – Liquid Waste Program
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CO0054315 (2)
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Last modified
1/6/2022 11:33:58 AM
Creation date
1/6/2022 11:31:51 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0054315
PE
4200
STREET_NUMBER
769
Direction
E
STREET_NAME
WILLOW
STREET_TYPE
RD
City
MANTECA
Zip
95337
APN
24105117
ENTERED_DATE
9/27/2021 12:00:00 AM
SITE_LOCATION
769 E WILLOW RD
RECEIVED_DATE
9/27/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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: RECREATIONAL VEHICLE "SPORTSMEN" DATE: SEPTEMBER 23, 2021 <br />ADDRESS: 769 E num AVE. CITY: MANTECA ZIP CODE: 95337 <br />OWNER/OPERATOR: DERROL & EDITH ELLIOTT TELEPHONE #: <br />TYPE OF INSPECTION: ID COMPLAINT 0 STATUS CHECK CI OTHER PROGRAM <br />ELEMENT: 4200 <br />RECORD <br />ID#: C00054315 <br />NATURE OF COMPLAINT/CONSULTATION: <br />COMPLAINT INVESTIGATION FOR TWO RECREATIONAL VEHICLES DUMPING SEWAGE <br />OBSERVATIONS/COMMENTS: <br />WHEN I VISITED THE PROPERTY WITH THE SHERIFF'S OFFICE AND CODE ENFORCEMENT, WE COULD NOT GO PAST THE GATE <br />OBSERVED THAT THE RECREATIONAL VEHICLE HAD A SEWAGE CAP ON AND NO SURFACING SEWAGE OBSERVED. <br />ABATING COMPLAINT. <br />CORRECTIVE ACTIONS: <br />N/A <br />CORRECT BY: N/A <br />INSPECTED BY: ALDARA SALINAS <br />RECEIVED BY: MAILED TO OWNER DATE: SEPTEMBER 23, 2021 <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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