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CO0006717
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0006717
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Last modified
12/19/2019 10:21:28 AM
Creation date
2/13/2019 12:04:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0006717
PE
2531
FACILITY_ID
FA0003965
FACILITY_NAME
P G & E STOCKTON SERVICE CENTE
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
ENTERED_DATE
8/19/1996 12:00:00 AM
SITE_LOCATION
4040 WEST LANE
RECEIVED_DATE
8/15/1996 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4040\CO0006717.PDF
Tags
EHD - Public
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Date run: 08/19/96 SAN J000UTl`I COUNTY P'11"1Jr HEALTH SFP'JTTC Report #5104 <br /> Run by : MARY01w Paye <br /> Copy # : 01 of Ol COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # = C0006717 Pro ement : 2531 <br /> Taken by : 0008 LETITIA BRIGGS Date: 08/19/96 Assigned to : 0008 ETITIA BRIGGS Date: 08/19/96 <br /> Hard copy Printed: <br /> F"aciJity Name : P G_& F _STOCKTON_SERVICE CENTE Fac ID : 003965 <br /> BILL to inventoried FACILITY: <br /> Location: 4040 WEST LANE (Must have FACILITY IDI) <br /> Complainant : SUSAN FANDEL_. P. G &_E Home Phoma : 415-972-5719 <br /> Address : Work Phone : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : P G & E STOCKTON_ -ERVICE CENTE Loc Code : 01 <br /> Address : 4040 WEST LANE BOS Dist r 0.02 <br /> City : STOCKTON 95204 A�T1 t <br /> Phone : 209-46S-6947 <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : PG&E_ Home Phone : 209-46S-3867 <br /> Address : 77 BFALE _:i Work Phone : <br /> City: SAN FRANCISCO CA 941.0h <br /> Nature of Complaint: <br /> AUG 15 SPILL OF TRANSFORMER <br /> COMPLAINT Info — <br /> COMPLAINT MODE: P PHONE <br /> A-Agency Referral B-BD OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> O-Other EH Unit P-Phone <br /> COMPLAINT STATUS: D/ <br /> 01-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 /> Circle appropriate Unit # if complaint in another PROGRAM jurisdiction, Have Complaint Record and P/E updated <br /> Forwarded to UNIT: I II II IV for Investigation <br />
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