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CO0048456
EnvironmentalHealth
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2200 - Hazardous Waste Program
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CO0048456
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Entry Properties
Last modified
2/14/2024 10:43:57 AM
Creation date
7/16/2019 1:52:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0048456
PE
2200
STREET_NUMBER
2733
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12133014
ENTERED_DATE
1/18/2019 12:00:00 AM
SITE_LOCATION
2733 COUNTRY CLUB BLVD
RECEIVED_DATE
10/3/1991 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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A 1% <br /> Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048456 Site Location: 2733 COUNTRY CLUB BLVD Account ID <br /> Received by: EE0000753 NG Received Date: 10/3/1991 Print Date: 1/18/2019 2:44:15PM <br /> Assigned To: EE0000753 NG Assigned Date: 1/18/2019 <br /> Program/Element Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> <br /> <br /> <br /> Nature ofcomplaint: <br /> ANTIFREEZE RUNNING INTO STORM DRAIN DUMPED AT 11:56 AM ON 10/3/1991.LICENSE PLATE#120T1 D.CAR IS A BRONZE COLORED <br /> FIRE BIRD <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-Intemet/Email S-Sheriffs Office <br /> ------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Narne: RP DBA <br /> Site Location 2733 COUNTRY CLUB BLVD RP mailing address <br /> STOCKTON,CA 95204 <br /> Cross Street RYDE <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner <br /> DBA <br /> Owneraddress <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 003-PATTI,TOM Location Code 01-STOCKTON <br /> APN 12133014 <br /> Date Abated II'y'IQ Inspector lD#: &auarr <br /> Tyl—_1---------- --------------- — --_---- _ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: C19 <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 52-LEAD Abatement Regired-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 /> ompalnt Reviewed by: Date: p ate y. Uk Date: I /G <br /> 5104.rpt <br />
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