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CO0052699
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0052699
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Entry Properties
Last modified
12/7/2023 4:28:54 PM
Creation date
11/16/2020 9:08:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0052699
PE
4200
STREET_NUMBER
21800
Direction
S
STREET_NAME
MANTECA
STREET_TYPE
RD
City
MANTECA
Zip
95337
APN
22612012
ENTERED_DATE
9/23/2020 12:00:00 AM
SITE_LOCATION
21800 S MANTECA RD
RECEIVED_DATE
9/23/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Complaint Investigation Form Report #. 5104 <br />COMPLAINT ID: C00052699 <br /> <br />Site Location: 21800 S MANTECA RD Account ID: : <br /> <br />Received by: EE0000418 KITH <br />Assigned To: EE0000418 KITH <br /> <br />Received Date: 9/23/2020 Print Date: 9/23/2020 11:47:03AM <br />Assigned Date: 9/23/2020 <br />Program/Element Code 4200 - LIQUID WASTE PROGRAM <br /> <br /> <br /> <br />Nature of complaint: <br />COMPLAINANT ALLEGES THAT THE PROPERTY SMELLS LIKE HUMAN SEWAGE WHICH SHE BELIEVES IS COMING FROM ONE OF THE <br />SEVERAL TRAILERS ONSITE. SHE ALLEGES THAT THE SEWAGE IS CAUSING A FLY PROBLEM IN HER BACK YARD. <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-Sheriff's Office <br />C-Counter <br />P-Phone <br />F-Fax <br />PROPERTY INFORMATION <br /> <br />RESPONSIBLE PARTY INFORMATION <br /> <br />Property Name: <br />Site Location <br /> <br />RP DBA <br />RP mailing address <br /> <br />21800 S MANTECA RD <br />MANTECA, CA 95337 <br />MAIN <br /> <br />Cross Street <br />Mailing address <br /> <br />RP contact <br />RP contact phone <br /> <br />Phone <br /> <br />Property Owner: DENNIS & HELEN DE KIDOS <br />DBA <br />Owner address <br /> <br />Billing Address 22637 SIXTH ST <br />HAYWARD, CA 94541 <br />Home Phone <br />Work Phone <br /> <br />District 005 - ELLIOTT, BOB <br />APN 22612012 <br /> <br />Location Code 99- UNINCORPORATED AREA <br />I (-10.01,0 Inspector ID #: StA33y(ic Date Abated <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date: <br /> <br />Complaint Status Code: <br />.--.. <br />Circle appropriate Status Code <br />01 )Field Response-Violations Cited and Corrected <br />02 - 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 - END 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 />2,0 ...s.omplaint Reviewed by: Da Updated by: Date:/ <br />5104.rpt
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