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CO0040012
Environmental Health - Public
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CO0040012
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Last modified
11/6/2019 3:08:12 PM
Creation date
11/6/2019 3:05:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0040012
PE
2548
STREET_NUMBER
0
STREET_NAME
LIBERTY
STREET_TYPE
RD
Zip
95362
APN
ROW
ENTERED_DATE
7/13/2015 12:00:00 AM
SITE_LOCATION
LIBERTY RD
RECEIVED_DATE
7/10/2015 12:00:00 AM
QC Status
Approved
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EHD - Public
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Complaint Investigation Form Report*5104 <br /> COMPLAINT ID: 000040012 Site Location: LIBERTY RD Account ID: <br /> Receivedby: EE0009817 LOPEZ Received Date: 7/10/2015 PrintDate. 7/13/2015 12:43:04PM <br /> Assigned To: EE0009817 LOPEZ Assigned Date: 7/10/2015 <br /> Pmoram/Element Code 2548-Non-Release Response-HazCat/Chemical Pickup <br /> Complainant: : LEA NOLAN-PUBLIC WORKS Home Phone <br /> Address Work Phone <br /> -Mail Add2ss <br /> Nature ofcomplaint., <br /> 5 GALLON CONTAINER OF LIQUID ABANDONED ON THE SIDE OF LIBERTY RD AT LOWER SACRAMENTO RD. <br /> Complaint Mode. P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors 1 City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Intemet/Email S-Sheriffs Once <br /> -- -------- -- - - --- - <br /> PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site Location LIBERTY RPiDBA <br /> ;CA 95362 RP Address <br /> Cross Street <br /> Billing Address <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN ROW <br /> —f11T Q� 7 <br /> Date Abated O IS Inspector ID#: yT (c) q 1 p I 7 I/ <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code: <br /> � I <br /> Circle appropriate Status Code <br /> ----=.t. 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> �! <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 Regired-See Program Record File <br /> 05.DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 08-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> 07-REFERRED TO OTHER 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 /> ompaint Reviewed by Date; pale y: ate: <br /> 5104 m1 <br />
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