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CO0051437
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0051437
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Last modified
1/30/2023 10:04:22 AM
Creation date
2/11/2020 2:34:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0051437
PE
4200
STREET_NUMBER
1914
STREET_NAME
AUTO
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
11921006
ENTERED_DATE
1/9/2020 12:00:00 AM
SITE_LOCATION
1914 AUTO AVE
RECEIVED_DATE
1/9/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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it Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00051437 Site Location: 1914 AUTO AVE Account ID: <br /> Received by: EE0009848 MARTINEZ Received Date: 1/9/2020 Print Date: 1/9/2020 3:38:05PM <br /> Assigned To: EE0000418 KITH Assigned Date: 1/9/2020 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature of complaint: <br /> ONGOING SEWAGE SPILL BEHIND TRAILERS 16, 17, 18,AND 19. <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 /> ------------------------------------------------ <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 1914 AUTO AVE RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street WATERLOO 1� <br /> Mailing address RP contact r ( M tI, 36 Z-2 <br /> RP contact phone <br /> Phone <br /> Property Owner:FAIRBANKS,HOWARD&ANNE <br /> DBA <br /> Owner address <br /> Billing Address 813 E 950 S <br /> PROVO,UT 84606 <br /> Home Phone 901 <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 99-UNINCORPORATED AREA <br /> APN 11921006 <br /> Date Abated —1 Zi tom Inspector ID#: <br /> ----------------------------- <br /> Send Referral to Referral Letter Sent y <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Ci le appropriate Status Code <br /> X <br /> Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 60102 <br /> -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 /> omp aintReviewed y: atedi <br /> '�j/ ate p y: k w ate: <br /> 5104.rpt <br />
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