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CO0053289
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4200 – Liquid Waste Program
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CO0053289
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Entry Properties
Last modified
1/30/2023 10:04:23 AM
Creation date
3/8/2021 1:04:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0053289
PE
4200
STREET_NUMBER
1914
Direction
N
STREET_NAME
AUTO
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
11921006
ENTERED_DATE
1/20/2021 12:00:00 AM
SITE_LOCATION
1914 N AUTO AVE
RECEIVED_DATE
1/20/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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ADMIN
Tags
EHD - Public
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kio) <br />Complaint Investigation Form <br />Report #: 5104 <br />COMPLAINT ID: C00053289 Site Location: 1914 N AUTO AVE Account ID: : <br />Received by: EE0009830 SAUERS <br />Assigned To: EE0000418 KITH <br />Program/Element Code 4200 - LIQUID WASTE PROGRAM <br />Received Date: 1/20/2021 Print Dates 1/20/2021 I :57:17PM <br />Assigned Date: 1/20/2021 <br />Complainant: <br />Home Phone <br />E-Mail Address <br /> <br />Nature of complaint: <br /> <br />COMPLAINANT ALLEGES THAT THERE IS RAW SEWAGE LEAKING FROM AROUND SPACE 19. <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 /> <br />1914 N AUTO AVE <br />STOCKTON, CA 95205 <br />WATERLOO <br />RP mailing address <br /> <br />Cross Street <br />Mailing address <br /> <br />RP contact <br />RP contact phone <br /> <br />Phone <br /> <br />Property Owner: FAIRBANKS, HOWARD & ANNE <br />DBA <br />Owner address <br /> <br />Billing Address 813 E 950 S <br />PROVO, UT 84606 <br />Home Phone <br />Work Phone <br /> <br />District 002 - MILLER, KATHERINE <br />APN 11921006 <br /> <br />Location Code 99- UNINCORPORATED AREA <br />Date Abated Inspector ID #: 'un6vA, <br /> <br />Send Referral to <br />Referral Address <br /> <br />Referral Letter Sent by <br />Date: <br /> <br />Complaint Status Code: \\ <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 />Multiple Complaints - SEE ACTIVE CASE # C,avaovsa- <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 Recared-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 />51 - Tank pumped <br />S2 - Hooked up to public sewer <br />Date: Updated by: ,omplaint Reviewed by: <br />-Date: <br />5104. rpt
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