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CO0051655
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0051655
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Last modified
12/21/2022 4:46:13 PM
Creation date
4/24/2020 2:23:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0051655
PE
2546
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06206042
ENTERED_DATE
2/20/2020 12:00:00 AM
SITE_LOCATION
800 E KETTLEMAN LN
RECEIVED_DATE
2/20/2020 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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ADMIN
Tags
EHD - Public
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Complaint Investigation Form <br />Report* 5104 <br />COMPLAINT ID: C00051655 Site Location: 800 E KETTLEMAN LN <br /> <br />Account ID: AR0003211 <br /> <br />Received by: EE0009848 MARTINEZ <br /> <br />Received Date: 2/20/2020 <br /> Print Date: 2/20/2020 10:39:54AM <br />Assigned To: EE0009835 GAITAN <br /> <br />Assigned Date: 2/20/2020 <br />Program/Element Code 2546 - Release/Spill Response (excluding Joint Team) <br /> <br />Complainant: <br /> <br /> <br /> <br /> <br /> <br /> <br />Nature of complaint: <br /> <br />SPILL. GASOLINE DUE TO DRIVE OFF. 2 OUNCES. <br />Complaint Mode P Complaint Mode Codes A-Agency Referral <br />E-Code Enforcement <br />I-Internet / Email <br />B-Bd of Supervisors / City Council <br />M-Mail / Correspondence 0-Other EH Unit <br />S-Sheriffs Office <br />C-Counter <br />P-Phone <br />F-Fax <br />PROPERTY INFORMATION <br />Facility: FA0003633 - ARCO 07049 <br />Site Location 800 E Kettleman Ln <br />Lodi, CA 95240 <br />Cross Street 99 ON RAMP <br />Mailing address PO BOX 6038 <br />ARTESIA, CA 90702 <br />Phone 209-334-3678 EXT: <br />Owner: 0W0002699 - BP WEST COAST PRODUCTS, LLC <br />DBA <br />Owner address PO BOX 6038 <br />ARTESIA, CA 90702 <br />Billing Address PO BOX 6038 <br />ARTESIA, CA 90702 <br />Home Phone <br />Work Phone 415-902-5089 EXT: <br />RESPONSIBLE PARTY INFORMATION <br />RP DBA <br />RP mailing address <br />RP contact <br />RP contact phone <br />District 004- WINN, CHARLES <br />APN 06206042 <br />Date Abated g <br /> —2020 <br />Inspector ID #: <br />Location Code 02 - LODI <br />crroa5 01-6( <br /> <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date: <br /> <br />Complaint Status Code: 02_ <br />Circle appropriate Status Code <br />01 - Field Response-Violations Cited and Corrected <br />°Office Response Only <br />06- Violations Cited - see Linked PROGRAM FACILITY FILE <br />07 - Referred to Other Agency <br />08 - Unable to Verify Alleged Complaint <br />10- POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12- DA Referred Complaint-See Program Enforcement Action Form <br />15 -ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 -Alleged FBI - No Major Violations Identified <br />29 - Alleged FBI - Major Violations Identified <br />50 - LEAD Assessment Performed-No Abatement Required <br />52- LEAD Abatement Reqired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED-Old Complaint-No Original Found <br />MN - EHD Monitoring Status <br />PD - Permit Issued-Pending Well Installation <br />RS - Resolved - New Well Installed <br />Si - Tank pumped <br />S2- Hooked up to public sewer <br />,omplaint Reviewed by: <br />0•AA-R <br />DateLi Updated by: 016\ <br /> <br />DIA 1)010 <br />5104.rpt
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