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CO0000500
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4600 - Public Water System Program
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CO0000500
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Last modified
3/17/2021 10:51:18 AM
Creation date
2/8/2019 11:52:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4600 - Public Water System Program
RECORD_ID
CO0000500
PE
4600
FACILITY_ID
FA0004180
FACILITY_NAME
MOSSDALE TRAILER PARK
STREET_NUMBER
10
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
ENTERED_DATE
8/17/1993 12:00:00 AM
SITE_LOCATION
10 W MOSSDALE RD
RECEIVED_DATE
8/16/1993 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\M\MOSSDALE\10\CO0000500.PDF
Tags
EHD - Public
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+� k <br /> Date run: 08/17/93 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVIC Report 151104 <br /> Run by : ROSEMARY Page # 5 <br /> Copy # : 01 of 01 COMPLAINT INVESTIGATION REPORT <br /> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM f <br /> COMPLAINT # C0000500. Program/Element : 4600 ! <br /> Taken by : 0519 ROSEMARY FLORES Date: 08/17/93 Assigned to,�16 ,Date: 08/17193 <br /> F <br /> Facility Name: MOSSDALE TRAILER PARK Fac ID: 004180 , <br /> BILL to inventoried FACILITY: <br /> Location: 10 MOSSDALE RD (Must have FACILITY ID#) <br /> Complainant: <br /> <br /> <br /> ' S <br /> FACILITY LOCATION/Property Info — <br /> DBA or N44,� MOSSDALE TRAILER PARK Loc Code : 99 <br />} Address J 10 MOSSDALE RD BOS Dist : 003 <br />{ City: LATHROP 95330 APN # <br /> Phone: <br /> OWNER Info — BILLING Party: <br /> f Owner/Agent: MOSSDALE TRAILER PARK Home Phone: <br /> Address: 10 MOSSDALE RD Work Phone: <br /> City : LATHROP CA 95330 <br /> Nature of Complaint: <br /> NEW WELL WAS DUG . AND NOW THE WATER HAS A TERRIBLE TASTE — SMELLS REAL <br /> BAD — ALSO A NEW LEACH FIELD HAS BEEN PUT IN — ADDRESS GIVEN WAS 34 <br /> MOSSDALE <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-9 ail/Correspondence' <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: IDV <br /> 41-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 /> i <br /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> ' [nrwar4aR HOT- T IT ITT TV for Investioatlon <br />
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