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CO0003489
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0003489
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Entry Properties
Last modified
10/29/2019 11:01:12 AM
Creation date
2/8/2019 10:19:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0003489
PE
2531
FACILITY_ID
FA0000210
FACILITY_NAME
CARPENTER CO
STREET_NUMBER
17100
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
ENTERED_DATE
3/14/1995 12:00:00 AM
SITE_LOCATION
17100 S HARLAN RD
RECEIVED_DATE
3/13/1995 12:00:00 AM
P_LOCATION
07
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\H\HARLAN\17100\CO0003489.PDF
Tags
EHD - Public
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Date rur�r 013/14/95 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC <br /> Run by SHELLY <br /> IC�� <br /> Report 95104 <br /> -Copy # = G.I. Of 01, COMPLAINT INVESTIGATION REPORT Page 4. <br /> _ COMPLAINT ,# C0003489 <br /> Taken by : O628 SHELLY PRATER Date: 03/14/95 Pr°Oram/Element = 00 <br /> Hard copy Printed: 03/14/95 Assign d to bate: 03!14/95 <br /> Facility Name : CARPENT,E_P. CC M.P.A �Y. yC I` <br /> Fac ID: €30Q_2.1Q <br /> Location- 1,7104 S.....H.ARLAN RD BILL to inventoried FACILITY: <br /> (Must have FACILITY ID91, <br /> ComPlainant : At' N0N M. PLOY <br /> Address " ....... ................Home Phone : <br /> ........ Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DESA or Name: CARPENTER CO <br /> ..........._-......... ..................................... .. Loc Code : Q7 <br /> Address : x.,7.1„00 5.....HRRL_ N....._ROAD <br /> CitY: LATHROP ................ BOS Dist <br /> ....................... AP N # <br /> Phone , <br /> BILLING RESP0NSIBLE PARTY or OWNER Info <br /> Name .”. STAN PAULEY Home Phone: 209--982--48C <br /> PRESIDENT OF COMPANY <br /> .Address: ... ........ -.....-. Work PhpnCit .. e: <br /> Nature of Complaint: <br /> DUMPING LATEX IN THE BACK FIELD CARPET CUSHION BLOWING ALL OVER INTO T <br /> �s HE BACK FIELD AND ALL. OVER THE PLACE <br /> COMPLAINT Info .— <br /> COMPLAINT <br /> nfo .--COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> .................. <br /> 01-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> Ob-Transfer to Premise File 01-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 11 III IV for Investigation <br />
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