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CO0043124
EnvironmentalHealth
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1990
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4200 – Liquid Waste Program
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CO0043124
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Entry Properties
Last modified
7/2/2020 11:22:09 PM
Creation date
2/11/2019 10:41:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0043124
PE
4200
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10121001
ENTERED_DATE
3/16/2017 12:00:00 AM
SITE_LOCATION
1990 N PICCOLI RD
RECEIVED_DATE
3/16/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PICCOLI\1990\CO0043124.PDF
Tags
EHD - Public
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`.- 'H1� Complaint Investigation Form Report#:5104 <br /> C9MPLAINT ID: C00043124 Site Location: 1990 N PICCOLI RD Account ID: <br /> Receivedby: EE0000020 MEUANGKHOTH Received Date: 3/16/2017 Print Date: 3/16/2017 9:58:08AM <br /> Assigned7o: EE0005944 ESCOTTO Assigned Date: 3/16/2017 <br /> P/caram/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: :RONALD ORANI Home Phone 209-981-6439 <br /> Address : Work Phone <br /> -Mail Address <br /> Nature ofcomplaint: <br /> COMPLAINANT ALLEGES SEWAGE LINE BROKE. RAW SEWAGE OVERFLOWING ONTO CONCRETE AND INTO STORM DRAIN. <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 0-Other EH Unit P-Phone <br /> ]-Internet/Email S-Sherifrs Office <br /> ------------------------------------------------- <br /> PROPERTY <br /> ----------- -- --- ------- --- ------ ---------_PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner:UNIFIED GROCERS INC <br /> Site Location 1990 N PICCOLI RP/DBA UNIFIED GROCERS INC <br /> STOCKTON,CA 95215 RPAddmss 18818 TELLER AVE STE 277 <br /> Cross Street WATERLOO IRVINE,CA 92612 <br /> Billing Address 18818 TELLER AVE STE 277 <br /> Home Phone <br /> Phone : Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 10121001 �1 ,r—I e �A1 ..I <br /> Date Abated ; sIwl r t Inspector ID#: ��"'A'y,A 1 j4 lI <br /> --_— ---------------- -------------------------- <br /> Send <br /> /-- _-1---_--_ _ — ----_Yr—JLJJ----YYYJsdd_ rrr_666-------_ --- <br /> Send Referral to Referral Letter Sent by I <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code (fie <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-Refierred to Other Agency <br /> 08-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 /> -ip aint Reviewed Dy: ate: �� , pate y: Date /) / <br /> rpt <br />
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