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CO0043215
EnvironmentalHealth
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2200 - Hazardous Waste Program
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CO0043215
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Entry Properties
Last modified
11/4/2019 3:03:05 PM
Creation date
2/8/2019 6:49:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0043215
PE
2200
STREET_NUMBER
19133
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
00911011
ENTERED_DATE
4/3/2017 12:00:00 AM
SITE_LOCATION
19133 E LIBERTY RD
RECEIVED_DATE
4/3/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\19133\CO0043215.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br />rN7atureof <br /> T ID: C00043215 Site Location: 19133 E LIBERTY RD Account ID: <br /> edby: EE0006219 DUNCAN Received Date: 4/3/2017 Print Date: 4/3/2017 3:30:06PM <br /> ed To: EE0002670 1VAt= 170) Assigned Date: 4/3/2017 <br /> nt Code:2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> inant: :ANONYMOUS Home Phone <br /> ddress Work Phone <br /> -Mail Address <br /> m laint: <br /> DUMPING OF OIL AND OTHER HAZARDOUS MATERIALS. '""'HOUSING AND CDD ISSUES ALSO-TO BE DISCUSSED AT TRIAGE <br /> ON 4/10/2017;POSSIBLE CST"'"' <br /> Complaint Mode: P Complaint Motle 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-Inlemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:WILLIAM M&CELINA M MULHAIR <br /> Site Location 19133 E LIBERTY RP/DBA <br /> CLEMENTS,CA 95227 RP Address PO BOX 68 <br /> Cross Street MACKVILLE RD CLEMENTS,CA 95227 <br /> Billing Address PO BOX 68 <br /> Home Phone <br /> Phone Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 00911011 <br /> Date Abated -7, Inspector ID#: 04rl)t� <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 -Field Response-Violations Cited and Corrected 28-Alleged FBI-No Major Violations Identified <br /> 02-Office Response Only 29-Alleged FBI-Major Violations Identified <br /> 50-LEAD Assessment Performed-No Abatement Required <br /> 52-LEAD Abatement Reqired-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 <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> PD-Permit Issued-Pending Well Installation <br /> POSTED SUBSTANDARD/UNSECURED-See Housing File RS-Resolved-New Well Installed <br /> CXI-Multiple Complaints-SEE ACTIVE CASE#�.yro 0 �T3 t 4 4 <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> omp aint Reviewed by: /Liyr ^ ate: Da <br /> ^ + ' d <br /> 5104.rpt <br />
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