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CO0050241
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0050241
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Entry Properties
Last modified
12/3/2020 8:42:33 PM
Creation date
8/15/2019 4:16:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0050241
PE
4200
STREET_NUMBER
25132
Direction
E
STREET_NAME
RIVER
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
24709023
ENTERED_DATE
8/1/2019 12:00:00 AM
SITE_LOCATION
25132 E RIVER RD
RECEIVED_DATE
8/1/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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ADMIN
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00050241 Site Location: 25132 E RIVER RD Account ID: <br /> Received by: EE0007380 SHIH Received Date: 8/1/2019 Print Date: 8/1/2019 1:59:15PM <br /> Assigned To: EE0009825 AFONSKAIA Assigned Date: 8/1/2019 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of com taint: <br /> SEWAGE FROM ESCALON TREATMENT PLANT WAS LEAKING ONTO PROPERTY. <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-Sheriff's Office <br /> ------------------ ------------------------- -- ---- - - <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 25132 E RIVER RD RP mailing address <br /> ESCALON,CA 95320 <br /> Cross Street MC HENRY <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:JOHN VANDYKHUIZEN <br /> DBA <br /> Owner address <br /> Billing Address PO BOX 116 <br /> ESCALON,CA 95320 <br /> Home Phone <br /> Work Phone <br /> District 004-WINN,CHARLES Location Code 99-UNINCORPORATED AREA <br /> APN 24709023 �J <br /> Date Abated / I'& <br /> o/ / Inspector ID#: <br /> Send Referral to Ref ral L tt ent by <br /> Referral Address Date: <br /> Complaint Status Code: <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# c o P 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 ainteviewe y: ate: pate y: ate: <br /> 5104.rpt <br />
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