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CO0055321
EnvironmentalHealth
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1200 - Lead Program
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CO0055321
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Last modified
3/21/2023 8:51:25 AM
Creation date
3/21/2023 8:50:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1200 - Lead Program
RECORD_ID
CO0055321
PE
1200
STREET_NUMBER
17650
STREET_NAME
MYSTIC
STREET_TYPE
DR
City
LATHROP
Zip
95330
APN
21050011
ENTERED_DATE
10/25/2022 12:00:00 AM
SITE_LOCATION
17650 MYSTIC DR
RECEIVED_DATE
10/25/2022 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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Complaint Investigation Summary <br /> Report #: 5105 <br />COMPLAINT ID: C00055321 Site Location: 17650 MYSTIC DR <br />Received by: EE0007380 SHIH Received Date: 10/25/2022 <br /> <br />Complaint Received Via: INTERNET! EMAIL <br />Assigned To: EE0008987 SANGALANG <br /> <br />Assigned Date: 10/25/2022 <br />Program/Element Code 1200 - LEAD PROGRAM <br />Nature of complaint: <br />STATE CASE R2#8797814 - MUST BE COMPLETED BY 10/28/22 <br />PROPERTY INFORMATION <br />Property Name: <br />Site Location 17650 MYSTIC DR <br />LATHROP, CA 95330 <br />Cross Street WEST WIND <br /> <br />District 003 - PATTI, TOM <br /> <br />Location Code 07 - LATHROP <br /> <br />APN 21050011 <br /> <br />Complaint Status: <br /> <br />Date Abated <br />Activity Date <br />Abated By: DS-c"co ('-k <br />Activity Summary <br />Recorded by <br />10/25/2022 Review of lead cases SANGALANG <br />10/26/2022 Site inspection for El. Water samples taken. SANGALANG <br />10/27/2022 REVIEWED EMAIL FROM PHN. TALK TO FAMILY. REVIEW WITH SCOTT. SOOD <br />10/28/2022 ENVIRONMENTAL INVESTIGATION WITH SCOTT. SOOD <br />10/28/2022 Completed El with Omran. SANGALANG <br />10/31/2022 FILE CONSTRUCTION. SOOD <br />11/01/2022 REVIEW FILE. PREPARE SAMPLES, CDPH-CLPPB LPFFS. SOOD <br />11/01/2022 LABEL SAMPLES AND DROP OFF @ UPS. SOOD <br />11/10/2022 RECEIVED AND REVIEWED LABORATORY RESULTS. CDPH-CLPPB LPFFS. SOOD <br />REVIEW WITH FAMILY AND PHN. REVIEW FILE. <br />11/15/2022 REVIEW FILE. CDPH-CLPPB LEAD HAZARD EVALUATION REPORT. SOOD <br />CDPH-CLPPB LPFFS. <br />11/16/2022 REVIEW FILE AMEND CDPH-CLPPB LEAD HAZARD EVALUATION REPORT SOOD <br />COPY TO CDPH-CLPPB <br />12/08/2022 REVIEW FILE. CDPH-CLPPB APPENDIX C CDPH-CLPPB LPFFS. SOOD <br />12/09/2022 REVIEW FILE. CDPH-CLPPB SUMMARY. CDPH-CLPPB LPFFS. SOOD <br />12/23/2022 REVIEW FILE. CDPH-CLPPB RASSCLE. SOOD <br />12/27/2022 REVIEW FILE. AMEND CDPH-CLPPB SUMMARY. AMEND CDPH-CLPPB SOOD <br />LPFFS. COPIES. COPIS TO PHN. <br />01/11/2023 REVIEW FILE. CDPH-CLPPB RASSCLE. AMEND CDPH-CLPPB SUMMARY. SOOD <br />CDPH-CLPPB LPFFS. COPIES. <br />5105.m4 Page 1 of 2
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