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CO0055580
EnvironmentalHealth
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CO0055580
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Entry Properties
Last modified
4/12/2023 8:48:42 AM
Creation date
4/12/2023 8:47:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1200 - Lead Program
RECORD_ID
CO0055580
PE
1253
FACILITY_NAME
UNG, JAMES & SUSANA
STREET_NUMBER
4445
STREET_NAME
COTTON
STREET_TYPE
CT
City
STOCKTON
Zip
95207
APN
10426005
ENTERED_DATE
2/1/2023 12:00:00 AM
SITE_LOCATION
4445 COTTON CT APT 5
RECEIVED_DATE
2/1/2023 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: C00055580 <br /> <br />Site Location: 4445 COTTON CT APT 5 <br /> <br />Received by: EE0003600 BLACKVVELL <br />Received Date: 2/1/2023 Complaint Received Via: AGENCY REFERRAL <br />Assigned To: EE0002089 SOOD <br />Assigned Date.' 2/2/2023 <br />Program/Element Code 1253 - Lead Abatement Case <br />Nature of complaint: <br />PHN REFERRAL <br />STATE ID # 871 3846 <br />ELEVATED BLOOD LEAD LEVEL CHILD <br />PROPERTY INFORMATION <br />Property Name: <br />Site Location <br />Cross Street <br />4445 COTTON CT #5 <br />STOCKTON, CA 95207 <br />BIANCHI <br />District <br />Location Code <br />APN <br />002 - MILLER, KATHERINE <br />01 - STOCKTON <br />10426005 <br /> <br />Complaint Status: <br />Date Abated . 1-111(17-3 Abated By: CSO /2g <br />Activity Summary <br />Activity Date Recorded by <br />02/03/2023 PHN REFERRAL REVIEW WITH PHN. SOOD <br />02/09/2023 FILE CONSTRUCTION. SOOD <br />02/27/2023 REVIEW FILE. TALK TO FAMILY. SOOD <br />02/27/2023 ENVIRONMENTAL INVESTIGATION @ 4445 COTTON CT., APT.5, <br />STOCKTON. <br />SOOD <br />03/01/2023 PREPARE SAMPLES CDPH-CLPPB LPFFS SOOD <br />03/01/2023 CDPH-CLPPB CHAIN OF CUSTODY FORMS. DROP OFF SAMPLES @ UPS SOOD <br />03/03/2023 RECEIVED AND REVIEWED LABORATORY RESULTS. CDPH-CLPPB LPFFS. SOOD <br />REVIEW RESULTS WITH FAMILY. REVIEW WITH PHN <br />03/08/2023 REVIEW FILE CDPH-CLPPB LEAD HAZARD EVALUATION REPORT SOOD <br />03/09/2023 REVIEW FILE AMEND CDPH-CLPPB LEAD HAZARD EVALUATION REPORT SOOD <br />COPY TO CDPH-CLPPB <br />03/28/2023 REVIEW FILE. CDPH-CLPPB RASSCLE. OWNERSHIP INVESTIGATION. SOOD <br />03/31/2023 REVIEW FILE. CDPH-CLPPB SUMMARY. CDPH-CLPPB LPFFS. SOOD <br />04/04/2023 REVIEW FILE. AMEND CDPH-CLPPB SUMMARY. AMEND CDPH-CLPPB SOOD <br />LPFFS. CDPH-CLPPB APPENDIX C-2. COPIES. <br />04/04/2023 CDPH-CLPPB SUMMARY AND COPIES TO PHS SOOD <br />04/10/2023 AN ENVIRONMENTAL INVESTIGATION WAS CONDUCTED ON 2/27/23. NO SOOD <br />LEAD HAZARDS WERE IDENTIFIED AND NO LEAD ABATEMENT WORK <br />REQUIRED. <br />SO <br />5105 rpt Page 1 of 1
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