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CO6XPHU2T
EnvironmentalHealth
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2500 – Emergency Response Program
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CO6XPHU2T
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Last modified
11/24/2020 10:25:03 AM
Creation date
2/8/2019 5:28:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO6XPHU2T
PE
2546
STREET_NUMBER
3028
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
14502018
ENTERED_DATE
1/30/2017 12:00:00 AM
SITE_LOCATION
3028 Navy Dr, Stockton
RECEIVED_DATE
1/28/2017 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\N\NAVY\3028\CO6XPHU2T.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C06XPHU2T Site Location: 3028 Navy Dr, Stockton Account ID: : <br /> Received by: EE0004636 BACKUS Received Date: 1/28/2017 Pdnt Date: 1/30/2017 11:32:37AM <br /> Assigned To: EE0000006 SAEED Assigned Date: 1/2812 01 7 <br /> PromrrvElemeot Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant : <br /> <br /> <br /> <br /> <br /> Nature of complaint: <br /> 150 gallon(reported)spill of CORRPRO 656 water treatment corrosion inhibitor chemical onto the driveway and into the stormwater drainage system. <br /> Complaint Mode: P Complaint Mode Codes 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-Shenlfs Office <br /> ---------------------------------- <br /> PROPERTY <br /> -- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:Jordan Cain-Environmental Contact <br /> Site Location 3028 Navy RP/DBA Pacific Ethanol Stockton LLC <br /> STOCKTON,CA 95206 RP Address 3028 Navy Drive <br /> Cross Street Washington STOCKTON,CA 95206 <br /> Billing Address 3028 Navy Drive <br /> Home Phone <br /> Phone Work Phone 510-90471314 <br /> Distdct Location Code 01-STOCKTON <br /> APN 14502018 <br /> Date Abated r 7 %''Ir Inspector lD#: CIOQot LCZK' ,A <br /> Send Referral to <br /> Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: L <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 0, -field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Regired-See Program Record File <br /> 97-Disaster Planning and Response <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07 Refferred to Other Agency 07S(_- 9 <br /> 06-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp aint eview y: <br /> p a� y, ate: <br /> W 7117 IL, JF <br /> 5104.rp1 <br />
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