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CO0047080
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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CO0047080
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Last modified
7/23/2019 8:17:23 AM
Creation date
10/12/2018 11:29:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
CO0047080
PE
4300
STREET_NUMBER
2395
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
APN
21306013
ENTERED_DATE
7/13/2018 12:00:00 AM
SITE_LOCATION
2395 E PESCADERO AVE
RECEIVED_DATE
7/11/2018 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Tags
EHD - Public
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F 0" Complaint Investigation Form Report#: 5104 <br />COMPLAINT ID: C00047080 Site Location: 2395 E PESCADERO AVE Account ID: : <br />Received by: EE0000034 AHMED <br />Assigned To: EE0000034 AHMED <br />Received Date: 7/11/2018 <br />Assigned Date: 7/13/2018 <br />Program/Element Code:4300 - WELL PROGRAM <br />Complainant: : <br /> <br /> <br />Nature of complaint: <br />ABANDONED WELL ON SITE. <br />Print Date: 7/13/2018 9:37:27AM <br />Complaint Mode: A Complaint Mode Codes A -Agency Referral B-Bd of Supervisors / City Council C -Counter F -Fax <br />E -Code Enforcement M -Mail I Correspondence O -Other EH Unit P -Phone <br />I-Intemet / Email S -Sheriffs Office <br />----------------------------------------------------- <br />PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br />Property Name: Responsible Party or Property Owner: MARY C BACCHETTI TR <br />Site Location 2395 E PESCADERO RP/DBA <br />TRACY, CA 95304 RP Address <br /> <br /> <br />Phone : <br />District 005 - ELLIOTT, BOB <br />APN 21306013 <br />Home Phone <br />Work Phone <br />Location Code 03 - TRACY <br />Date Abated 1 7/3 /J yf Inspector ID #: /4A��" <br />Send Referral to ! ! Referral Letter Sent by <br />Referral Address Date: <br />Complaint Status Coder <br />Circle appropriate Status Code <br />V- Field Response -Violations Cited and Corrected <br />02 - Office Response Only <br />06 - Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Refferred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - DA Referred Complaint -See Program Enforcement Action Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED -Old Complaint -No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued -Pending Well Installation <br />RS - Resolved - New Well Installed <br />S1 - Tank pumped <br />S2 - Hooked up to public sewer <br />S3 - Septic system repaired <br />Updated y: ate: <br />
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