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CO0053747 (2)
Environmental Health - Public
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4300 - Water Well Program
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CO0053747 (2)
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Last modified
10/6/2022 3:18:22 PM
Creation date
10/6/2022 3:14:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
CO0053747
PE
4300
STREET_NUMBER
4620
Direction
E
STREET_NAME
SHIPPEE
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
08540009
ENTERED_DATE
5/3/2021 12:00:00 AM
SITE_LOCATION
4620 E SHIPPEE LN
RECEIVED_DATE
5/3/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Property Name: <br />Site Location 4620 E SHIPPEE LN <br />STOCKTON, CA 95212 <br />Cross Street GNEKOW <br />District <br />Location Code <br />APN <br />004 - WINN, CI IARLES <br />99- UNINCORPORATED AREA <br />08540009 <br />Complaint Investigation Summary <br /> Report #: 5105 <br />COMPLAINT ID: C00053747 Site Location: 4620 E SHIPPEE LN <br />Received by: EE0009825 AFONSKAIA <br />Assigned To: EE0009825 AFONSKAIA <br />Program/Element Code 4300 - WELL PROGRAM <br />Received Date: 5/3/2021 Complaint Received Via: Other EHD UNIT <br />Assigned Date: 5/3/2021 <br />Nature of complaint: <br /> <br />ABANDONED WELL <br />PROPERTY INFORMATION <br />Complaint Status: <br />Date Abated : çCt1-1/L <br /> <br />Abated By: <br />. . <br />- <br /> <br />05/12/2021 <br />05/27/2021 <br />07/12/2021 <br />Activity Activity Summary <br />Put in complaint for abandoned well at 4620 Shippee Rd. <br />Completed NOA and printed picture. Gave NOA to Shannon to send by certified <br />mail. <br />MAILED CERTIFIED WELL NOTICE TO ABATE DATED 5/4/2021 TO <br />PROPERTY OWNER. <br />RITH SAM & DITH ILEEN <br />4620 SHIPPEE LN <br />STOCKTON CA 95212 <br />CERTIFIED MAIL #: 7020 1810 0000 4003 3036 <br />GAVE GREEN RECEIPT TO DARIAAFONSKAIA. <br />MAILED REGULAR WELL NOTICE TO ABATE WITH PHOTO LOG DATED <br />05/04/2021 TO PROPERTY OWNER. <br />RITH SAM & DITH !LEEN <br />4620 SHIPPEE LN <br />STOCKTON CA 95212 <br />Got a call from the owner asking about well destruction info. Told owner about <br />contractor list on website and let them know that once permit was issued I would <br />close the complaint. <br />No permit issued for abandoned well. <br />Review file information. Contacted Sam Rith 2096291230. He will contact a C-57 <br />licenced contractor to submit a well destruction permit. Emailed him the well <br />contractor list riths4683@gmail.com. <br />Activity Date <br />05/03/2021 <br />05/04/2021 <br />08/09/2021 <br />02/10/2022 <br />Recorded by <br />AFONSKAIA <br />AFONSKAIA <br />BALLWAH N <br />BALLWAHN <br />AFONSKAIA <br />AFONSKAIA <br />GIRARDI <br />05/12/2022 Abandoned well is destroyed under permit WP0043213. Complaint abated. GIRARDI <br />5105.rpt Page 1 of 1
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