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CO0054924 (2)
Environmental Health - Public
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4000 – Vector Control Program
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CO0054924 (2)
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Last modified
1/24/2023 1:05:34 PM
Creation date
1/24/2023 1:02:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4000 – Vector Control Program
RECORD_ID
CO0054924
PE
4000
STREET_NUMBER
12150
Direction
E
STREET_NAME
ADA
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10328011
ENTERED_DATE
5/24/2022 12:00:00 AM
SITE_LOCATION
12150 E ADA AVE
RECEIVED_DATE
5/24/2022 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 />COUNTY <br />csio, Greatness grows here. <br />Environmental Health Department <br />Jasjit Kang, REHS, Director <br />Muniappa Naidu, REHS, Assistant Director <br />PROGRAM COORDINATORS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Willy Ng, REHS <br />Elena Manzo, REHS <br />Steven Shih, REHS <br />Michelle Henry, REHS <br />ADMINISTRATIVE HEARING AGREEMENT <br />DATE: <br />FACILITY: <br />ADDRESS: ILl60 At. AV E . Otc'c vrmi <br />OWNER/OPERATOR: "bilPokii- T <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT REPRESENTATIVES: <br />RC:YR -P -2T M CLEU CIN1 iAJDl P o G-LA <br /> , hereby, agree to have all violation(s) dated <br />pertaining to the above referenced facility/premises corrected on or before <br />(All re-inspections will be assessed at a rate of $152.00 per hour). <br />I further agree that said violations may be determined to the public health and/or safety and will prevent <br />these violations from recurring. I understand that failure to comply with this agreement will result in <br />further legal remedies. <br />COMMENTS: P TOY_ tm I L ttv vk—sT1&AtI FfO LtITAtik A /\.1 D <br />lkitr-ALL ,C1Zt-E..1.1 I F F.1.1 c 1.1.1 i 71-1 61-At•ITO - <br />Proprietor's Sign ture <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd
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