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CO0034909
Environmental Health - Public
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2500 – Emergency Response Program
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CO0034909
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Last modified
10/4/2019 11:32:37 AM
Creation date
2/8/2019 11:27:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0034909
PE
2547
FACILITY_ID
FA0009635
STREET_NUMBER
1021
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
17728014
ENTERED_DATE
4/24/2012 12:00:00 AM
SITE_LOCATION
1021 INDUSTRIAL DR
RECEIVED_DATE
4/23/2012 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\I\INDUSTRIAL\1021\CO0034909.PDF
Tags
EHD - Public
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(14V Complaint Investigation Form <br /> Report*5104 <br /> COMPLAINT ID: C00034909 Site Location: 1021 INDUSTRIAL DR Account 1D: <br /> Received bY: EE0008317 VON FLUE Received Date: 4123/2012 <br /> Print Date: 4/24/2012 8:16:/OAM <br /> Assigned To: EE0008317 VON FLUE <br /> Assigned Date: 4/24/2012 <br /> Pro9ram/E1ement Code-2547-GENERATOR RESPONSE STANDBY <br /> Complainant: :ROBERT LOPEZ Home Phone <br /> Address " <br /> Work Phone <br /> -Mail Address <br /> Nature of coal Iafnt: <br /> A TANK LEAKED CALCIUM HYDROXIDE INTO THE SECONDARY CONTAINMENTAND ONTO THE ASPHALT <br /> Complaint Mode: A Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail 1 Correspondence O-Other EH Unit P-Phone <br /> I-Internet!Email S-Sheriff's Office <br /> PROPERTY INFORMATION _ PROPERTY OWNER INFORMATION _ <br /> Property Name: Responsible Party or Property Owner:ROGER HOFFDAHL <br /> Site Location 1021 INDUSTRIAL RP/DBA CORN PRODUCTS <br /> Cross Street STOCKTON,CA 95206 RP Address 1)(740 n, Q r <br /> Billing Address <br /> Home Phone L� <br /> Phone ; Work Phone <br /> District 001-VILLAPUDUA Location Code 01-STOCKTON <br /> APN I-7-7 240 I LA <br /> Date Abated Inspector ID# 3 r Vw <br /> --------------- __ <br /> Send Referral to Referral Letter Sent by — a — ` <br /> Referral Address Date: <br /> Complaint Status Coder <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> OJELD ABATED 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 /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Comptaint-No Original Found <br /> 07-REFERRED TO OTHER AGENCY CL-Case Closed <br /> 08-UNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARDIUNSECURED-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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