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CO0005482
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0005482
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Entry Properties
Last modified
6/16/2023 2:25:49 PM
Creation date
2/8/2019 5:31:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0005482
PE
2547
FACILITY_NAME
SHELL
STREET_NUMBER
3515
Direction
N
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
ENTERED_DATE
2/8/1996 12:00:00 AM
SITE_LOCATION
3515 N NAVY DR
RECEIVED_DATE
2/8/1996 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\N\NAVY\3515\CO0005482.PDF
Tags
EHD - Public
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Date rd'i: 02/08/96 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 45104 <br /> Run by : MARYO/ Page # 2 <br /> Copy # : O1 of 01- COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = COOO5482 Program/Element <br /> Taken by : 0418 MICHAEL KITH Date: 02/08/96 Assigned to : 0418 MICHAEL KITH Date: 02/08/9 <br /> Hard copy printed: <br /> Facility Name: Fac ID: <br /> BILL to inventoried FACILITY: <br /> Location: 351.5. $t...NAVY--DR_...,..-__STOCKTON. <br /> (Must have FACILITY I04) <br /> Complainant: <br /> <br /> ,_.._-_............... <br /> . _... <br /> Work Phone : <br /> FACILITY LOCATION/Property Info - <br /> DBA or Name : loc Code : <br /> SHELL —... -- -- — ..._ - - ...- <br /> Address: 3515 N NAVY_._DR,__,_,...___.___—.-----.-------------APN #. -BOS Dist : <br /> City: STO_CKTON <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info - Home Phone: 1 <br /> Name : SHELL.----......_........._.________._._._.-._...__.-._.....__._......_._........_..._---...._..._... <br /> Address: ___..___.__.._.._._.......__Work Phone' <br /> 3b15 ,_N_._NAVY DR_..._.._.._.—............ -- - - <br /> City : STOCKTON CA 20946-6694 <br /> Nature of Complaint: Ori°P <br /> 200-300 GALLONS OF T` & OIL SPILL. MK RESPONDED . <br /> COMPLAINT Info - <br /> COMPLAINT MODE: .F�...... <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: .(�..�.._ <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enforce ACT Initiated <br /> 06-Transfer to Premise File 07-Refer to Other Agency 08-Not Valid 09-Foodborne Illness <br /> Circle appropriate Unit 4 if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: 1 II II IV for Investigation <br />
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