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CO0038529
Environmental Health - Public
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2500 – Emergency Response Program
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CO0038529
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Last modified
12/22/2020 12:09:55 PM
Creation date
2/8/2019 11:27:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0038529
PE
2546
FACILITY_ID
FA0003775
STREET_NUMBER
1010
STREET_NAME
INDUSTRIAL
STREET_TYPE
WAY
City
STOCKTON
ENTERED_DATE
9/15/2014 12:00:00 AM
SITE_LOCATION
1010 INDUSTRIAL WAY
RECEIVED_DATE
9/15/2014 12:00:00 AM
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\I\INDUSTRIAL\1010\CO0038529.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: C00038529 Site Location: INDUSTRIAL WAY Account ID: <br /> Received by EE0000011 GOWAN Received Date: 9/15/2014 Print Date: 9/15/2014 1:1 1:51 PM <br /> Assigned To: EE0001422 VELOSO Assigned Date: 9/15/2014 <br /> Program/Element Code:2546-Release/Spill Response(excluding Joint Team) <br /> Complainant. i BOB NEWMAN Home Phone 209-401-0079 <br /> Address Work Phone <br /> Mail Address <br /> Nature of complaint: <br /> TIGER LINES LLC TRUCK WAS HIT AND RELEASED APPROXIMATELY 30 GALLONS OF DIESEL FUEL TO THE ROAD, DRIVEWAY,AND <br /> SHOULDER. <br /> Complaint Mode. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: 1010 Responsible Party or Property Owner:MARK HANDEL <br /> Site Location —79hNDUSTRIAL RP/DBA TIGER LINES LLC <br /> STOCKTON,CA RP Address 927 BLACK DIAMOND WAY <br /> Cross Street AIRPORT WAY LODI,CA 95241 <br /> Billing Address 927 BLACK DIAMOND WAY <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN <br /> Date Abated �v _ (y Inspector ID#: N0q <br /> ` G I <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code tel <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01 FI 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 6-EH AFD CILI see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REOTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11-Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 rpt <br />
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