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CO0036674
Environmental Health - Public
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CO0036674
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Last modified
11/19/2024 10:36:08 AM
Creation date
2/8/2019 8:56:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0036674
PE
2546
STREET_NUMBER
0
STREET_NAME
I-5
STREET_TYPE
LN
City
STOCKTON
Zip
95207
ENTERED_DATE
7/17/2013 12:00:00 AM
SITE_LOCATION
MARCH LN
RECEIVED_DATE
7/17/2013 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\M\MARCH\0\CO0036674.PDF
Tags
EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00036674 Site Location: MARCH LN Account ID: AR0039898 <br /> Received by. EE0003600 BLACKWELL Received Date: 7/17/2013 Print Date: 3/15/2021 3:05:03PM <br /> Assigned To: EE0009488 WONG Assigned Date: 7/17/2013 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> Home Phone <br /> E-Mail Address <br /> Nature of complaint: <br /> DIESEL RELEASE ON 1-5 NORTHBOUND OFF RAMP TO MARCH LN <br /> Complaint Mode: O 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 /> -------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location I-5 LN RP mailing address <br /> STOCKTON,CA 95207 <br /> Cross Street MARCH LN OFF RAMP <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:TONY JENSEN <br /> DBA LEGACY TRANSPORTATION <br /> Owner address <br /> Billing Address 935 MCLAUGHLIN AVE <br /> SAN JOSE,CA 95122 <br /> Home Phone 408-294-9800 <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN <br /> Date Abated Inspector ID#: <br /> -------------------------------------------------------------------------------------------------------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 01-Field Response-Violations Cited and Corrected 29-Alleged FBI-Major Violations Identified <br /> 02-Office Response Only 50-LEAD Assessment Performed-No Abatement Required <br /> 06-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Reqired-See Program Record File <br /> 07-Referred to Other Agency 97-Disaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File MN-EHD Monitoring Status <br /> 11-Multiple Complaints-SEE ACTIVE CASE# PD-Permit Issued-Pending Well Installation <br /> 12-DA Referred Complaint-See Program Enforcement Action Form RS-Resolved-New Well Installed <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# S1-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omplaint Reviewed by: Date: Updated by: Date: <br /> 5104.rpt <br />
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