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CO0055360
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CO0055360
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Last modified
3/21/2023 8:44:48 AM
Creation date
3/21/2023 8:44:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1200 - Lead Program
RECORD_ID
CO0055360
PE
1253
FACILITY_NAME
VILLA MONTEREY DEVELOPMENT
STREET_NUMBER
4707
STREET_NAME
KENTFIELD
STREET_TYPE
RD
City
STOCKTON
Zip
95207
APN
10410016
ENTERED_DATE
11/14/2022 12:00:00 AM
SITE_LOCATION
4707 KENTFIELD RD APT 12
RECEIVED_DATE
11/10/2022 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Complaint Investigation Summary Report #: 5105 <br />COMPLAINT ID: C00055360 Site Location: 4707 KENTFIELD RD APT 12 <br />Received by: EE0002089 SOOD <br />Received Date: 11/10/2022 <br />Complaint Received Via: AGENCY REFERRAL <br />Assigned To: EE0002089 SOOD <br /> <br />Assigned Date: 11/14/2022 <br />Program/Element Code 1253 - Lead Abatement Case <br />Nature of complaint: <br />EBLL CHILD STATE ID # 8004215, PRIMARY RESIDENCE, PHN REFERRAL <br />PROPERTY INFORMATION <br />Property Name: VILLA MONTEREY COMMUNITY CENTER <br />Site Location 4707 KENTFIELD RD #12 <br />STOCKTON, CA 95207 <br />Cross Street JAMESTOWN ST <br /> <br />District 002 - MILLER, KATHERINE <br /> <br />Location Code 01 - STOCKTON <br /> <br />APN 10410016 <br />Complaint Status: <br /> <br />Date Abated <br />Activity Date <br />(-23 Abated By: 0Cotv) (12-okt <br />Activity Summary <br />Recorded by <br />11/10/2022 PHN REFERRAL. EBLL CHILD STATE ID#8004215. PRIMARY RESIDENCE AT SOOD <br />4707 KENTFIELD RD., APT.12, STOCKTON. REVIEW WITH PHN. CONTACT <br />FAMILY. UPDATE PHN. <br />11/14/2022 CDPH-CLPPB FILE CONSTRUCTION TALK TO FAMILY. SOOD <br />11/16/2022 ENVIRONMENTAL INVESTIGATION @ 4707 E. KENTFIELD RD. APT.12, <br />STOCKTON. PRE-1978 HOUSING PROTOCOL. <br />SOOD <br />11/17/2022 REVIEW FILE PREPARE SAMPLES CDPH-CLPPB LPFFS. SOOD <br />11/17/2022 CHAIN OF CUSTODY FORMS. DROP OFF SAMPLES AT UPS. SOOD <br />12/01/2022 REVIEW FILE. REVIEW LABORATORY RESULTS. CDPH-CLPPB LPFFS. SOOD <br />REVIEW WITH FAMILY. UPDATE PHN. <br />12/05/2022 REVIEW FILE. CDPH-CLPPB LEAD HAZARD EVALUATION REPORT. SOOD <br />CDPH-CLPPB LPFFS. CDPH-CLPPB RASSCLE DATABASE. <br />12/06/2022 REVIEW FILE. AMEND CDPH-CLPPB LEAD HAZARD EVALUATION REPORT. SOOD <br />CDPH-CLPPB LPFFS. COPY TO CDPH-CLPPB. <br />12/15/2022 REVIEW FILE. CDPH-CLPPB SUMMARY. CDPH-CLPPB LPFFS. SOOD <br />12/22/2022 REVIEW FILE. AMEND CDPH-CLPPB SUMMARY. CDPH-CLPPB LPFFS. SOOD <br />12/27/2022 REVIEW FILE. COPIES. COPIES TO PHN. SOOD <br />01/05/2023 REVIEW FILE. REVIEW WITH PHN. SOOD <br />01/25/2023 REVIEW FILE CLOSE CASE AND UPDATE LEAD CASES SUMMARY. SOOD <br />03/02/2023 AN ENVIRONMENTAL INVESTIGATION WAS CONDUCTED ON 11/16/22. NO SOOD <br />LEAD HAZARDS WERE IDENTIFIED AND NO LEAD ABATEMENT WORK <br />REQUIRED. <br />5105 rpt Page 1 of 1
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