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CO0N4AXUL
Environmental Health - Public
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2500 – Emergency Response Program
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CO0N4AXUL
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Last modified
11/19/2024 10:36:08 AM
Creation date
6/25/2020 10:14:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0N4AXUL
PE
2546
STREET_NUMBER
0
STREET_NAME
I-5
City
TRACY
Zip
95304
APN
NEAR 23905028
ENTERED_DATE
7/3/2019 12:00:00 AM
RECEIVED_DATE
7/3/2019 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT ID: COON4AXUL Site Location: MEDIAN STRIP NB I-5 AT ELEVENTH Account ID: AR0047990 <br /> Received by: EE0000032 ALANIZ Received Date: 7/3/2019 Print Date: 6/10/2020 8:10:54AM <br /> Assigned To: EE0000032 ALANIZ Assigned Date: 7/3/2019 <br /> Program/Element Code 2546-Release/Spill Response(excluding Joint Team) <br /> Complainant: <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> A semi-truck crash caused the release of 120 gallons of diesel fuel. <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 /> --------------------------------------------------- <br /> PROPERTY INFORMATION RESPONSIBLE PARTY INFORMATION <br /> Property Name: RP DBA ON TRACK TRANSPORTATION <br /> Site Location NB 1-5 AT ELEVENTH ST RP mailing address 2701 E HAMMMER LN#112 <br /> TRACY,CA 95304 STOKCTON,CA 95210 <br /> Cross Street <br /> Mailing address RP contact JULIE JIMENEZ <br /> 'RP contact phone 209-948-9100 <br /> Phone <br /> Property Owner:Caltrans <br /> DBA D-10 Maintenance Support <br /> Owner address <br /> Billing Address 1604 South B Street,Bldg.2 <br /> STOCKTON,CA 95206 <br /> Home Phone 209-948-3723 <br /> Work Phone <br /> District 005-ELLIOTT,BOB Location Code 03-TRACY <br /> APN NEAR 23905028 <br /> Date Abated 61 4�G6 Inspector ID#: km'l <br /> ------------------------------------------------- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:01 <br /> Circle a ro ri le 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 /> omp ainteviewe y: Date:6-1 <br /> 5104.rpt <br />
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