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CO0055164 (2)
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0055164 (2)
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Last modified
10/6/2022 2:40:23 PM
Creation date
10/6/2022 2:38:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0055164
PE
4200
STREET_NUMBER
10475
STREET_NAME
CLARKS FORK
STREET_TYPE
CIR
City
STOCKTON
Zip
95219
APN
06612007
ENTERED_DATE
8/23/2022 12:00:00 AM
SITE_LOCATION
10475 CLARKS FORK CIRCLE
RECEIVED_DATE
8/23/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055164 Site Location: 10475 CLARKS FORK CIRCLE <br />Received by: EE0000034 AHMED Received Date: 8/23/2022 Complaint Received Via: AGENCY REFERRAL <br />Assigned To: EE0000034 AHMED Assigned Date: 8/23/2022 <br />Program/Element Code 4200 - LIQUID WASTE PROGRAM <br />Nature of complaint: <br />12 GALLON SEWAGE RELEASE THAT ENDED UP AT PUMP STATION. SPILL OCCURRED ON 8/21/22 AT 8:38PM <br />PROPERTY INFORMATION <br />Property Name: <br />Site Location 10475 CLARKS FORK CIR <br />STOCKTON, CA 95219 <br /> <br />District 003 - PATTI, TOM <br /> <br />Location Code 01 - STOCKTON <br /> <br />APN 06612007 Cross Street <br /> <br />Complaint Status: <br />Date Abated : <br />Activity Summary <br />Activity Date Recorded by <br />08/23/2022 Spoke with Bryan Toledo from city of stockton. Release was caused by a pump AHMED <br />station failure. Pixlley Slough was not impacted by the release. No drinking was <br />impacted. The release has since been stopped and contained. <br />Drove around 10475 Clark Fork Circle the location on release. The area has been <br />cleaned. <br />Complaint abated. <br />08/25/2022 Official inspection report generated. AHMED <br />Abated By: <br />5105.rpt Page 1 of 1
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