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CO0049298
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0049298
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Entry Properties
Last modified
4/15/2020 9:42:48 AM
Creation date
6/21/2019 4:28:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0049298
PE
2500
FACILITY_NAME
ARCO #6080
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
ENTERED_DATE
3/14/2019 12:00:00 AM
SITE_LOCATION
85 E LOUISE AVE
RECEIVED_DATE
1/12/1993 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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ADMIN
Tags
EHD - Public
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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT I& C00049298 Site Location: 85 E LOUISE AVE Account ID: : <br /> Received by: EE0000753 NG Received Date: 1/12/1993 Print Date: 3/14/2019 2:27:49PM <br /> Assigned To: EE0000753 NG Assigned Date: 3/14/2019 <br /> Program/Element Code 2500-EMERGENCY RESPONSE <br /> Complainant: <br /> <br /> <br /> Nature ofcomplaint: <br /> ON 01/10/1993 AT TOOPM,ONE GALLON OF GASOLINE SPILLED.CONTAINED WITH ABSORBENT MATERIAL.NO SPILLAGE INTO GUTTER OR <br /> STORM DRAIN <br /> Complaint Mode: P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors I City Council C-Counter F-Fax <br /> E-Coda Enforcement M-Mall I Correspondence O-Other EH Unit P-Phone <br /> I-Intemet I Email S-Sherit's Office <br /> ------------------------------- — ---_----- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 85 E LOUISE AVE RP mailing address <br /> LATHROP,CA 95330 <br /> Cross Street HARLAN <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:DELIA SAN PEDRO <br /> DBA ARCO#6080 <br /> Owneraddress <br /> Billing Address 17315 STUDEBAKER RD <br /> CERRITOS,CA <br /> Home Phone 310407.2608 <br /> Work Phone <br /> District 003-PATTI,TOM Location Code 07-LATHROP <br /> APN 19627010 �„ <br /> Date Abated q l� Inspector ID#: (\�', <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: qg <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 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 52EN <br /> -LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File -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 /> omp aint Reviewed by: Date: Updated by:IK Date:' <br /> 5104,rpt <br />
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