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COLNAGDW0
EnvironmentalHealth
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2500 – Emergency Response Program
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COLNAGDW0
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Entry Properties
Last modified
6/8/2021 1:07:55 PM
Creation date
10/3/2019 2:37:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COLNAGDW0
PE
2546
STREET_NUMBER
0
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95304
ENTERED_DATE
6/5/2019 12:00:00 AM
SITE_LOCATION
BIRD & ELEVENTH ST
RECEIVED_DATE
6/5/2019 12:00:00 AM
QC Status
Approved
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ADMIN
Tags
EHD - Public
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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: COLNAGDWO Site Location: BIRD & ELEVENTH ST Account ID. AR0047852 <br /> Received by: EE0009818 BAKER Received Date. 6/5/2019 Print Date: 8/19/2019 12:54:39PM <br /> Assigned To: EE0000032 ALANIZ Assigned Date: 6/5/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> ffLONS OF DIESEL WAS RELEASED IN A VEHICLE COLLISION. <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 L.EHIGH HANSON <br /> Site Location BIRD RD RP mailing address 7675 N INGRAM AVE SUITE 104 <br /> TRACY,CA 95304 FRESNO.CA 93711 <br /> Cross Street ELEVENTH <br /> Mailing address RP contact ANDY BURGIN <br /> RP contact phone 559-493-8970 <br /> Phone <br /> Property Owner:SAN JOAQUIN COUNTY <br /> DBA PUBLIC WORKS DEPARTMENT <br /> Owner address <br /> Billing Address 1810 EAST HAZ,ELTON AVE <br /> STOCKTON,CA 95205 <br /> Home Phone 209-468-3000 <br /> Work Phone 209-468-3000 <br /> District Location Code <br /> APN /1 <br /> Date Abated $ / G1 Inspector ID#: / I An tZ <br /> Send Referral to ff ll�Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:—Qi <br /> Circle appropriate Status Code <br /> 01-FieldResponse-Violations Cited and Correc a 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 /> omplaint Reviewed by: MAU Date: Updated by: ate: <br /> 5104.rpt <br />
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