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CO0006683
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0006683
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Entry Properties
Last modified
4/1/2021 3:39:24 PM
Creation date
2/13/2019 12:55:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0006683
PE
2547
STREET_NUMBER
4055
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
ENTERED_DATE
8/13/1996 12:00:00 AM
SITE_LOCATION
4055 N WILSON WAY
RECEIVED_DATE
8/9/1996 12:00:00 AM
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\4055\CO0006683.PDF
Tags
EHD - Public
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. Daum run: 08/14/96 SAN )AQUIN COUNTY PUBLIC HEALT SERVIC Report #5104 <br /> Run by : MARYFCa N ..i ..� Page # 2 <br /> Copy # : 01 o 01 COMPLAINT INVESTIGATION REPORT <br /> COMPLAINT # : COOO6683 Program/Element : 2220'6 <br /> Taken by : 0988 KASEY FOLEY Date: 08/09/96 Assigned to 3973 RBBERi—MEEt{ttOtr Date: 08/09/96Z!5,q�4— <br /> Hard copy Printed: tY C.`Jr—eJer\a_ <br /> Facility Name : Fac ID : <br /> BILL to inventoried FACILITY: <br /> Location: 4055 N . WILSON WAY—STOCKTON (Must have FACILITY ID#) <br /> Complainant: <br /> : <br /> FACILITY LOCATION/Property Info — <br /> DBA or Name : Loc Code : <br /> Address : BOS Dist : <br /> City : APN # <br /> Phone: <br /> BILLING RESPONSIBLE PARTY or OWNER Info — <br /> Name : CHRISTOPHER BENNETHome Phone : <br /> Address : Work Phone : <br /> City : <br /> Nature of Complaint: <br /> HAZARDOUS MATERIALS RUNNING INTO STORM DRAIN . <br /> COMPLAINT Info — <br /> COMPLAINT MODE: A AGENCY REFERRAL <br /> A-Agency Referral 8-80 OF Supervisors/City Ccouncil C-Counter M-Mail/Correspondence <br /> 0-Other EH Unit P-Phone <br /> COMPLAINT STATUS: <br /> O1-Field Abated 02-Office Abated 03-NAI Sent 04-Notice to Abate Issued 05-Enf0rc8 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 III IV for Investigation �fi <br />
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