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CO0037191
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0037191
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Entry Properties
Last modified
10/4/2019 10:25:40 AM
Creation date
2/7/2019 11:34:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0037191
PE
2546
STREET_NUMBER
27517
STREET_NAME
EDWARDS
STREET_TYPE
RD
City
ESCALON
Zip
95230
APN
20721016
ENTERED_DATE
10/28/2013 12:00:00 AM
SITE_LOCATION
27517 EDWARDS RD
RECEIVED_DATE
10/28/2013 12:00:00 AM
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\E\EDWARDS\27517\CO0037191.PDF
Tags
EHD - Public
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Complaint Investigation Form Report# 5104 <br /> COMPLAINT ID: C00037191 Site Location: 27517 EDWARDS RD Account ID: <br /> Received by EE0002646 TRAN Received Date. 10/28/2013 Print Date: 10/28/2013 1:09:12PM <br /> Assigned To. EE0002646 TRAN Assigned Date: 10/28/2013 <br /> Prixtram/Element Code 2546-Release Response Day <br /> Complainant : WAYNE PACHECO Home Phone : 209-212-1364 <br /> Address 285 N 3RD AVE Work Phone :209-576-6532 <br /> OAKDALE,CA 95361 E-Mail Address <br /> Nature of complaint: <br /> WIND BLEW OVER POLE MOUNTED TRANSFORMER RELEASING UNKNOWN AMOUNT OF MINERAL OIL(EST 20 GAL). <br /> Complaint Mode Complaint Mode Codes A-Agency Referral. B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Cade Enforcement M-Mail i Correspondence O-Other EH Unit P-Phone <br /> 1-Intemet t Email S-Sheriff's Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:PO&F <br /> Site Location 27517 EDWARDS RP/DBA <br /> ESCALON,CA 95230 RP Address 27517 EDWARDS RD <br /> Cross Street STEiNGUI RD ESCALON,CA 95320 <br /> Billing Address 27517 EDWARDS RD <br /> Home Phone <br /> Phone Work Phone <br /> District 005-ELLIOTT.BOB Location Code 05-RIPON <br /> APN 20721016 <br /> Data Abated I !'11 1 2) inspector ID#.. ^'rv(,A In <br /> - - -- --------------------- - ---- - <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: ti• <br /> Circle appropriate Status Code <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 1�D_IELD ABATED 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 02-OFFICE ABATED 28-FOODBORNE ILLNESS-No Ma1or Violations Identified <br /> 03-NAI SENT 29-FOODBORNE ILLNESS-Malor Violattons Identified <br /> D4-NOTICE TO ABATE ISSUED 50-LEAD Assessment Performed-No Abatement Required <br /> fly-DA-ENFORCEMENT ACTION INITIATED 52-LEAD Abatement Reqired-See Program Record File <br /> 06-EHD FACILITY.see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-REFERRED TO OTHER AGENCY 99-UNSPECIFIED-Old Complaint-No Original Found <br /> oB-UNABLE TO VERIFY CL-Case Closed <br /> 10-POSTED SUBSTANDARDIUNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 5114 rpt <br />
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