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CO0048212
Environmental Health - Public
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4200 – Liquid Waste Program
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CO0048212
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Last modified
12/18/2019 4:58:59 PM
Creation date
7/30/2019 9:41:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0048212
PE
4200
FACILITY_NAME
NINETY-NINE SPEEDWAY
STREET_NUMBER
4105
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
13202014
ENTERED_DATE
1/3/2019 12:00:00 AM
SITE_LOCATION
4105 N WILSON WY
RECEIVED_DATE
2/22/1991 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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ADMIN
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EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00048212 Site Location: 4105 N WILSON WY AccountlD., <br /> Received by: EE0000753 NG Received Date: 2/22/1991 Print Date: 1/3/2019 4:17:22PM <br /> Assigned To: EE0000753 NG Assigned Date: 1/3/2019 <br /> Prmgram/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> <br /> Nature ofcomplaint: <br /> HAS TRAILER ON TOP OF SEPTIC TANK AND ARE BUILDING ON TOP OF SYSTEM. <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-Mali/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sherfrs Once <br /> ---------------------------------------- ----- --- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA <br /> Site Location 4105 N WILSON WAY RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street MCALLEN <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> PropertyOwner <br /> DBA <br /> Owneraddress <br /> Billing Address <br /> Home Phone <br /> Work Phone <br /> District 002-MILLER,KATHERINE Location Code 01-STOCKTON <br /> APN 13202014 / <br /> Date Abated �I /0,31(9 Inspector lD <br /> Send Refemal 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 /> 00-Violations Cited-see Linked PROGRAM FACILITY FILE 52-LEAD Abatement Regired-See Program Record File <br /> 07-Referred to Other AgencygTLBjsaster Planning and Response <br /> 08-Unable to Verify Alleged Complaint 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 If Si-Tank pumped <br /> 28-Alleged FBI-No Major Violations Identified S2-Hooked up to public sewer <br /> omp alnt Reviewed by: ate: pate y: Date:I 3 <br /> 5104.rpt <br />
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