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Complaint Investigation Form • Report#: 5106 <br /> COMPLAINT ID; C00015808 Site Location: 881 N SHAW RD Amount to: <br /> Receivedby: EE0007289 YOUNGBLOOD Received Date: 4/16/2001 <br /> Assigned To: EE0007289 YOUNGBLOOD Assigned Date: 4/17/2001 <br /> Location Code99-UNINCORPORATED AREA <br /> Proorem/E/ement �+r+e� 2300-UNDERGROUND TANK PROGRAM <br /> Nature of complaint: <br /> 25 GALLON DIESEL FUEL SPILL.HOSE BROKE ON FUEL PUMP. EMPLOYEES CONTAINED AND CLEANED UP PRIOR TO NOTIFICATION.SPILL <br /> CONTAINED TO ASPHALT. <br /> 04-17-01 -AYB-WENT OUT TO SITE TO VERIFY CLEANUP OF SPILL.FACILITY HAD USED ABSORBENT WHICH WAS LOCATED ON THE <br /> DISPENSING ISLANDS.ONE OF THE HOSES HAD A JOINT WHICH HAD FAILED,CAUSING THE LEAK.BY THE TIME I HAD ARRIVED IT WAS <br /> ALREADY REPAIRED.FUELING AT THIS SITE IS FROM ASTS. <br /> 04-24-01 -AYB-ABATED COMPLAINT.PLACED COPY IN PREMISE FILE <br /> Complaint Mode P Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City G C-Counter E-Code Enforcement <br /> M-Mail/Correspondenr O-Other EH Unit P-Phone <br /> FACILITY INFORMATION OWNER INFORMATION <br /> Facility: FA0010845-ROOFING SUPPLY GROUP INC OW0008845-ROOFING SUPPLY GROUP INC <br /> RP DBA:ROOFING SUPPLY GROUP INC <br /> Site Location: 881 N SHAW RD <br /> STOCKTON,CA 95215-4029 RP Addmss881 N SHAW RD <br /> STOCKTON,CA 95215-4029 <br /> Mailing Address 881 SHAW RD Billing Address881 SHAW RD <br /> STOCKTON, CA 95215 STOCKTON, <br /> Phone 1st: 209-946-4214 EXT: 0 Phone <br /> Wk: Number Not Specified <br /> District 002-RUHSTALLER, LARRY Location: 99-UNINCORPORATED AREA <br /> APN 14327061 <br /> ************************ ABATEMENT SUMMARY *********************** <br /> Status Employee ID and Name Abatement Date <br /> 01 EE0007289-YOUNGBLOOD,ALISON 4/24/2001 <br /> Abaternod Stats Codes <br /> 01-Field Abated 08-Unableto Verify 15-Activ,r HaaingCasaAkwCmplaud-See Adie Cele# <br /> 02-Office Abated 10-PO= ±sItadant isecued.SeelfxsingFle 28-FOCUBOLWEHINESS—Ab NFajorviiolatiosIda¢iSed <br /> 03-MSent ll-MiltipleComplarnIs-See Active Case# 29TOODBOLNKEII1I,ESS—Nl3o Violations Identified <br /> 04-Notice to Abate Issued 12-DA Referred Conplan t-See Violation Tracking F=501FADAssesstrat Rafamed—M AIaCarart Remoted <br /> 06-aD Pemrit Facihty See L arcked Facility File 52 LEADAbarenat Regtured—See Pr g Record File <br /> 07-Referred to Other Agency 99-Linspecified—Old Canplairt—Crigirnl notAvalable <br /> 5106.rpt <br />