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CO0045738
EnvironmentalHealth
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REYNOLDS RANCH
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3021
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2500 – Emergency Response Program
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CO0045738
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Entry Properties
Last modified
8/6/2021 9:40:11 AM
Creation date
2/12/2019 8:54:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0045738
PE
2546
FACILITY_NAME
BLUE SHIELD OF CALIFORNIA
STREET_NUMBER
3021
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
APN
05865005
ENTERED_DATE
2/7/2018 12:00:00 AM
SITE_LOCATION
3021 REYNOLDS RANCH PKWY
RECEIVED_DATE
2/7/2018 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\R\REYNOLDS RANCH\3021\COOO45738.PDF
Tags
EHD - Public
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• 1 <br /> Y' v Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00045738 Site Location: 3021 REYNOLDS RANCH PKWY Account ID: <br /> Receivedby: EE0000025 SEDRA Received Date: 2/7/2018 Pdnt Date.' 2/7/2018 12:58:50PM <br /> Assigned To: EE0000030 HANG Assigned Date: 2/7/2018 <br /> Procrem/Element Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: : <br /> <br /> <br /> Mature of complaint: <br /> RELEASE OF 1700 POUNDS OF SINORIX 227.BUILDING IS EVACUATED,FANS ARE GOING AND LODI FIRE IS MONITORING. <br /> Complaint Mode.' A 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 /> I-Internet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location 3021 REYNOLDS RANCH RPIDBA <br /> LODI,CA 95240 RP Address <br /> Cress Street HWY 99 FRONTAGE <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District 004-W INN,CHARLES Location Code 02-LODI <br /> APN 05865005 <br /> Date Abated ':;),1 -- -------InspectorID—###----(OLW <br /> ----- <br /> Send Referral to �G'= Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 50-LEAD Assessment Performed-No Abatement Required <br /> 02-Office Response Only 52-LEAD Abatement Regired-See Program Record File <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 97-Disaster Planning and Response <br /> 07-Refferred to Other Agency 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 08-Unable to Verify Alleged Complaint MN-EHD Monitoring Status <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File PD-Permit Issued-Pending Well Installation <br /> 11-Multiple Complaints-SEE ACTIVE CASE# RS-Resolved-New Well Installed <br /> 12-DA Referred Complaint-See Program Enforcement Action Form S1-Tank pumped <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S2-Hooked up to public sewer <br /> 28-Alleged FBI-No Major Violations Identified S3-Septic system repaired <br /> 29-Alleged FBI-Major Violations Identified <br /> ompaint Reviewed by: ate: Updated by: ate: 2I / <br /> 5104 rpt <br />
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