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CO0000879
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4200 – Liquid Waste Program
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CO0000879
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Entry Properties
Last modified
12/15/2020 4:17:59 PM
Creation date
1/30/2019 4:01:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0000879
PE
4200
STREET_NUMBER
1121
STREET_NAME
ANNABELLE
City
STOCKTON
ENTERED_DATE
10/18/1993 12:00:00 AM
SITE_LOCATION
1121 ANNABELLE
RECEIVED_DATE
10/18/1993 12:00:00 AM
P_LOCATION
99
QC Status
Approved
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FilePath
\MIGRATIONS\A\ANNABELLE\1121\CO0000879.PDF
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EHD - Public
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Ruteby,un: C%R fflE SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC �e t 16#04 1 <br /> Copy, # 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMhfMM�►IMMl►lMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMhiMMM1�IM�iMMMhh?�IMMMMMMMMMMl��fMMM <br /> COMPLAINT # : C0000879 Program/Element 4400 <br /> Taken by : 0363 KELLY RCCOY Gate: 10j18/93 Assigned to : 0370 tWILLIAN fiRCHESE Date: 10/18/93 <br /> F <br /> Facility Name: _ Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 1121 ANNEBELLE (Rust have FACILITY ID€1 <br /> Complainant: <br /> <br /> FACILITY LOCATION/Property Info <br /> DBA or Name: Loc Code : 99 <br /> Address: 1121 ANNABELLE/E.OF ORO/S.MAIN BOS Dist : , <br /> City: STOCKTON APN # 173-2-m-al <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name: MARGE HEL•LWIG (kf Home Phone: 209-471-2233 j <br /> Address: 7011J_� L!/ . I_�� Work Phone: 209-944-9901 <br /> City: — SAV G/, - <br /> Nature of Complaint: <br /> 1ST.APT ON RIGHT—PLYWD COVERINGSEPTIC TNK—CHK ACROSS STREET,OPEN SEWR <br /> 'PIPE. (TLD COMPLAINANT TO WRITE L/LORD RE;GOCKROACHES) .NOTE TO BILL M. ; <br /> SEE KELLY MCCOY RE: THIS COMPLAINT—SHE HAS BEEN OUT PREVIOUSLY. <br /> t <br /> r <br /> } <br /> COMPLAINT Info <br /> COMPLAINT HOPE: <br /> 0deacy Referral B-BD OF Supervisors/City Ccouncil C-Counter R-Rail/Corrnpondencgr <br /> O-Other Ed Unit P-Phone <br /> 1 <br /> COMPLAINT STATUS: 4 r <br /> 01-Field Abated 02-Office Abated G3-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise Pile P-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> r <br /> r <br /> Circle appropriate Unit 1 if complaint in another PROORAR jurisdiction, Have Complaint Record and HE updated 1 <br /> Forwarded to UNIT: I II III ' 1V for Investigation <br /> r <br />
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