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CO0051857
Environmental Health - Public
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4200 – Liquid Waste Program
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CO0051857
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Last modified
7/30/2024 11:38:54 AM
Creation date
7/15/2020 1:34:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0051857
PE
4200
STREET_NUMBER
1139
Direction
S
STREET_NAME
GARDEN
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
15715013
ENTERED_DATE
4/17/2020 12:00:00 AM
SITE_LOCATION
1139 S GARDEN AVE
RECEIVED_DATE
4/17/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Complaint Investigation Form Report#:5104 <br /> COMPLAINT ID: C00051857 Site Location: 1139 S GARDEN AVE Account ID: <br /> Received by: EE0000039 GOODERHAM Received Date: 4/17/2020 Print Date: 4/17/2020 9:24:19AM <br /> Assigned To: EE0000039 GOODERHAM Assigned Date: 4/17/2020 <br /> Program/Element Code 4200-LIQUID WASTE PROGRAM <br /> Complainant: <br /> <br /> E-Mail Address <br /> Nature of complaint: <br /> DURING SITE VISIT FOR PA2000040 AN ABANDONED SEPTIC TANK WAS DISCOVERED. WILL NEED TO BE DESTROYED UNDER PERMIT. <br /> Complaint Mode: 0 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 1139 S GARDEN AVE RP mailing address <br /> STOCKTON,CA 95205 <br /> Cross Street GUERNSEY <br /> Mailing address RP contact <br /> RP contact phone <br /> Phone <br /> Property Owner:ANGELO LEANDRO <br /> DBA <br /> Owner address <br /> Billing Address 5992EHWY26 <br /> STOCKTON,CA 95215 <br /> Home Phone <br /> Work Phone <br /> District 001-VILLAPUDUA,MIGUEL Location Code 99-UNINCORPORATED AREA <br /> APN 15715013 <br /> Date Abated Inspector ID#: <br /> --------------------------------------------- -- -- <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date: <br /> Complaint Status Code:`1 (�� ����� �V� ��k- DES' <br /> Circle appropriate Status Code <br /> (:03-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 amt Reviewed by: ate: Updated y: ate: <br /> 5104.rpt <br />
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