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CO0029258
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0029258
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Last modified
8/21/2019 1:35:50 PM
Creation date
2/11/2019 9:51:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0029258
PE
2546
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741031
ENTERED_DATE
10/16/2008 12:00:00 AM
SITE_LOCATION
6425 PACIFIC AVE
RECEIVED_DATE
10/15/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PACIFIC\6425\CO0029258.PDF
Tags
EHD - Public
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f <br /> w Complaint Investigation Form Report#:5104 <br /> .JMPLAINT ID: C00029258 Site Location: 6425 PACIFIC AVE AccountlD: AR0004604 <br /> Received by: EE0002670 NAIDU Received Date: 10115/2008 Print Date: 12/29/2009 1:51:39PM <br /> Assigned To: EE0002670 NAIDU Assigned Date: 10/16/2008 <br /> Program/Element Code 2546-GENERATOR RESPONSE 1 CLEAN UP <br /> Complainant: : MELISSA MARTIN,VEEDER ROOT Nome Phone <br /> Address Work Phone :336-312,-2146 <br /> F-Mail Address <br /> Nature of complaint., <br /> CUSTOMER SPILLED APPROXIMATELY 2 GALLONS OF FUEL BY DISPENSER Q. <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors l City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility:FA0002409-SAFEWAY FUEL CENTER#2707 Owner, OW0009310-SAFEWAY INC <br /> Site Location 6425 PACIFIC AVE RP/DBA SAFEWAY INC <br /> STOCKTON,CA 95207 RP Address 5918 STONERIDGE MALL RD <br /> Cross Street DOUGLAS RD PLEASANTON,CA 94588-3229 <br /> Mailing Address: PO BOX 29096 Billing Address PO BOX 29096 <br /> PHOENIX,AZ 85038-9096 PHOENIX,AZ 85038-9096 <br /> Nome Phone :925-467-3000 <br /> Phone :209472-8600 EXT: 1219 Work Phone ;925-467-2217 I <br /> District 002-RUHSTALLER,LARRY Location Code 99-UNINCORPORATED AREA <br /> t <br /> APN 09741031 <br /> Date Abated k b 1 1 os? .._ Inspector. <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: 9i <br /> 1 <br /> Complaint Status Code: D <br /> Circle appropriate Status Code <br /> 6 -FIELD ABATED 50-LEAD Assessment Performed-No Abatement Required <br /> 02-OFFICE ABATED 52-LEAD Abatement RegiredSee Program Record File <br /> 03-NAI SENT 97-Disaster Planning and Response <br /> 04-NOTICE TO ABATE ISSUED 99-UNSPECIFIED-Old Complaint-No Original Found-Pre-tracking <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE CL-Case Closed <br /> 07-REFERRED TO OTHER AGENCY <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 /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 29-FOODBORNE ILLNESS-Major Violations Identified <br /> I <br /> 51 SO <br />
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