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Complaint Investigation Form Report #:5104 <br />COMPLAINT ID: C00033973 Site Location: 20500 HOLLY DR <br />Receivedby. EE0003600 BLACKWELL Received Date: 9/18/1991 <br />Assigned To: EE0008317 VON FLUE Assigned Date: 8/1712011 <br />Procram/Element Code:2200 - HAZARDOUS WASTE GENERATOR PROGRAM <br />Complainant: : <br /> <br /> <br />Na <br />Account ID: : <br />PrintDate: 8/17/2011 4:59:41 PM <br />ure of complaint: _ <br />KIMBERLY BLACKWELL FOUND A COMPLAINT THAT ALLEGES: "GASOLINE LINE BROKE - 1 1/2 - 2 GALLONS REGULAR GAS SPILLED INTO <br />CONTAMINATED DYKE - OCCURRED 9/17/91 @ 9:40 A,M." ORIGINAL COMPLAINT # IS 91-1666 AND IS BEING GIVEN AN ENVISION'S <br />COMPLAINT NUMBER FOR FILE REVIEW #64170. <br />Complaint Mode: P Complaint Mode Codes <br />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-Intemet / Email S -Sheriffs Office <br />------------------------------------------------- <br />PROPERTY INFORMATION <br />PROPERTY OWNER INFORMATION <br />Property Name: <br />Responsible Party or Property Owner <br />Site Location 20500 HOLLY <br />RP/DBA <br />TRACY, CA <br />RP Address <br />Cross Street <br />Billing Address <br />Nome Phone <br />Phone <br />Work Phone <br />District <br />Location Code <br />APN <br />Date Abated_ 3 1 Cl I <br />Inspector ID #. _ O <br />Send Referral to <br />Referral Letter Sent by <br />Referral Address <br />Date: <br />Complaint Status Code:01 <br />le appropriate Status Code <br />- <br />ABATED. <br />02 - OFFICE ABATED <br />03 - NAI SENT <br />04 - NOTICE TO ABATE ISSUED <br />a5 - DA -ENFORCEMENT ACTION INITIATED <br />06 - EHD FACILITY - see Linked PROGRAM FACILITY FILE <br />07 - REFERRED TO OTHER AGENCY <br />08 - UNABLE TO VERIFY <br />10 - POSTED SUBSTANDARD/UNSECURED - See Housing File <br />11 - Multiple Complaints - SEE ACTIVE CASE # <br />12 - OA Referred Complaint -See Violation Tracking Form <br />15 - ACTIVE HOUSING CASE - NEW COMPLAINT see ACTIVE CASE # <br />28 - FOODBORNE ILLNESS - No Major Violations Identified <br />51 .rpt <br />29 - FOODBORNE ILLNESS - Major Violations Identified <br />50 - LEAD Assessment Performed -No Abatement Required <br />52 - LEAD Abatement Regired-See Program Record File <br />97 - Disaster Planning and Response <br />99 - UNSPECIFIED -Old Complaint -No Original Found <br />CL - Case Closed <br />