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CO0039254
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0039254
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Entry Properties
Last modified
1/6/2020 11:23:48 AM
Creation date
2/8/2019 5:26:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0039254
PE
2546
STREET_NUMBER
2941
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
ENTERED_DATE
2/18/2015 12:00:00 AM
SITE_LOCATION
2941 NAVY DR
RECEIVED_DATE
2/18/2015 12:00:00 AM
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\N\NAVY\2941\CO0039254.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: 000039254 Site Location: 2941 NAVY DR Account 1D: <br /> Receivedby: EE0001421 RIVERA Received Date: 2/18/2015 Print Date. 2/18/2015 2:48:45PM <br /> Assigned To: EE0001421 RIVERA Assigned Date: 2/1 812 01 5 <br /> Prooram/Elemeut Codk2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: :RAY SMITH W/NUSTAR Home Phone <br /> Address Work Phone <br /> -Mail Address <br /> Nature ofcom taint: <br /> DIESEL RELEASE DURING ROUTINE MAINTENANCE ONTO LOADING RACK SECONDARY CONTAINMENT.CAL OES#15-0727 <br /> Complaint Mode: p Complaint Mode Cotles A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> __PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 2941 NAVY RPiDBA NUSTAR TERMINAL OPERATIONS PARTNERSHIP LP <br /> STOCKTON,CA 95206 RP Address 2368 MARITIME DR SUTIE 275 <br /> Cross Street WASHINGTON ELK GROVE,CA 95758 <br /> Billing Address 2368 MARITIME DR SUTIE 275 <br /> Home Phone <br /> Phone : Work Phone <br /> District Location Code <br /> APN <br /> Date Abated 0 Inspector lD#: <br /> Send Referral to Referral letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: O f <br /> Circle appropriate Status Code I <br /> ii��� 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE <br /> C.A.1 # <br /> lFIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> d `6 ✓o l <br /> 5104.rpt <br />
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