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COTTPEME1
EnvironmentalHealth
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2500 – Emergency Response Program
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COTTPEME1
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Last modified
9/18/2023 10:25:46 AM
Creation date
2/14/2019 10:49:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTTPEME1
PE
2546
STREET_NUMBER
2802
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12118041
ENTERED_DATE
2/5/2019 12:00:00 AM
SITE_LOCATION
2802 Country Club Blvd. pump 8
RECEIVED_DATE
2/4/2019 12:00:00 AM
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: COTTPEME1 Site Location: 2802 Country Club Blvd. pump 8 Account ID: <br /> Received by: EE0000032 ALANIZ Received Date: 2/4/2019 Print Date: 2/5/2019 1:41:08PM <br /> Assigned To: EE0009835 GAITAN Assigned Date: 2/4/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> Approximately 5 gallons of gasoline was released from fuel tank in a truck. <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 O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name. RP DBA Safeway Fuel Center 1769 <br /> Site Location 2802 Country Club BLVD RP mailing address 5918 Stoneridge Mall Rd. <br /> :95204 Pleasanton,CA 94588 <br /> Cross Street FontanaAve. <br /> Mailing address RP contact Ron Lee <br /> RP contact phone 925-469-7513 <br /> Phone <br /> Property Owner:SPENO,NICHOLAS A&DIANE M TR ETAL <br /> DBA <br /> Owner address <br /> Billing Address 1371 OAKLAND BLVD#200 <br /> WALNUT CREEK,CA 94596 <br /> Home Phone <br /> Work Phone <br /> District Location Code 01-STOCKTON <br /> APN 12118041 <br /> Date Abated j ��/ Inspector ID#:Send Referral to �Y / Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> field Response-Violations Cited and Correct 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewed y. Dat Updated by: Dat �/1 (� <br /> 5104.rpt /� <br />
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